St George BTs/Omega MBTs Puppy Questionnaire

This questionnaire is intended to help educate anyone interested in a Bull Terrier or a Miniature Bull Terrier. These questions are designed so we can discuss topics related to the future happiness and healthof the puppy and the new owner.

Interested in (Please circle one): Bull Terrier Miniature Bull Terrier

Date Completed:

Your Full Name: (Last, First, MI)

Address where dog will live: (street #, city, state, zip)

Is this a house/apartment/condo? (Circle one) Any restrictions on pets?

Is this home in a rural area/suburban area/city area? (Circle one)

Yard size (if not sure, estimate):

Enclosed/Fenced front & rear?Fence Height:

Home Phone:Cell or Alt. Phone:

Spouse or Partner’s Name:

Name/age of children residing in home where dog will live:

Please describe your lifestyle:

Why have you chosen a Bull Terrier or Miniature Bull Terrier?

Is anyone home during the day part time/fulltime to train a puppy?

Who & When:

Who will have primary responsibility for care of puppy? (List names & ages)

Describe this person’s personality type:

We cannot guarantee sex, color or number of puppies in a litter but we are interested in knowing your preferences.

Particular color? Particular Sex?

Are you interested in showing your dog?

Would you be interested in us showing for you?

Are you interested in breeding your dog?

Have you owned aBull Terrier or a Miniature Bull Terrier before? (If yes, please describe age, sex and what happened to dog):

Where will the puppy or dog spend most of his/her day?

Where will the puppy or dog sleep at night?

What are your plans on socializing your puppy or dog?

What are your thoughts on crate training?

What are you most interested in: (Circle One)

Companion Show/Conformation DogBreeding

Obedience/AgilityOther purpose:

Please describe the qualities you like in a dog:

Are you aware that Bull Terriers andMiniature Bull Terriers are considered difficult to train, largely

in part becausethey are motivated differently from most breeds?

Are you aware of the health concerns related to this breed and able to financially perform all

recommended health testing?

Have you had other dogs (please list breed, sex, age):

Where are they now?

What other animals live at (or frequently visit) your home?

What books or research have you read or done regarding this breed?

Would you have a problem with providing a veterinarian reference and or character reference on

request?

Please list here any additional questions, concerns or information that we may find helpful in

evaluating you for one of our pups.