1. Why Do You Want a Shiba?

Puppy questionnaire

1. Why do you want a Shiba?

2. Where do you live?

3. Do you rent or own?

4. Do you have a fenced yard? Where will the puppy staywhen you are gone?

5. Do you have any children?

6. Please list the names and ages of all of the members of your household:

7. Do you have other dogs? How does your dog get along with other dogs? Please list a name/breed/gender/age for each

8. If you have had dogs in the past, what happened to them?

9. Have you ever had to give up a dog or other pet?
Please elaborate.

10. Do you have any other pets? Please list

11. How many hours a day will the dog be left alone? What is the profession of each adult in the household?

12. Do you have a veterinarian? If so, name and address please.

Gender:

Color (please select all that you might consider):