Potential Puppy Owner Questionnaire Tepes Ridge Kuvasz

Your assistance is completing this questionnaire will help us place the right puppy with you.  While it is not our intent to be intrusive, these questions helps ensure a good match.  If you feel additional information would be helpful, please add additional pages as necessary.  All information is confidential.  Thank you for your interest in Tepes Ridge Kuvasz.

Name:__________________________________________________    Date:______________________


City:________________________________________    State:____________    Zip:________________

Telephone(Days):______________________________    (Evenings):__________________________


List the names and ages of all members of your household:_______________________________

What other breeds are you considering at this time?:_____________________________________

How did you first learn about the Kuvasz?________________________________________________


Why does the Kuvasz appeal to you?____________________________________________________

For what purpose do you wish to purchase a Kuvasz? (Check as many as applicable):

Companion____    Show Dog____    Obedience____    Livestock Guard____ Breeding____

Do you prefer a male_____ or female_____ puppy?  Why?________________________________

Are there any members of your household who DO NOT want a new puppy?_______________

Is your current Residence a house_____    apartment_____    condo_____    other_____

Do you own_____    or rent_____

If you rent, does your current lease permit you to have pets?_____________________

Does your current residence have a yard?____________

If you have a yard, is it fully enclosed?______________

What is the height and type of fence which encloses your yard?__________________________

Where will your Kuvasz be kept during the day?  House_____    Yard_____    Dog Run_____

Other, please indicate:_______________________________________________________________

Where will your Kuvasz be kept during the evenings?  House_____    Yard_____

Dog Run_____    Other, please indicate:________________________________________________

An adult Kuvasz requires regular exercise.  How do you intend to exercise your dog?_______

How many hours per day could you spend with your Kuvasz on a typical weekday?_________

How many hours per day could you spend with your Kuvasz on a typical weekend?_________

Who in your household will be the primary caretaker(s) of your Kuvasz?___________________


Please list all pets you currently own:___________________________________________________

Please list the name, address and phone number of your pets?current veterinarian:_________

Please list all of the dogs you have owned in the past ten years including the following information:
A)     Breed
B)     Where you obtained your dog(s)
C)    Sex of dog and whether it was spayed or neutered
D)     What became of the dog(s) (i.e. death, sale, gift, theft, etc.).  If by death, please state the cause of death and approximate age of dog at time of death:

Are you committed to taking care of your Kuvasz needs for its entire lifetime?_____________

Are you willing to take your Kuvasz puppy through a formal class-oriented obedience                program?


Have you ever completed an AKC title on a dog in either conformation_____ or obedience_____ or other?_____

List titles completed:__________________________________________________________________

If you are considering breeding this dog, are you willing to obtain all necessary health clearances required under our puppy sales contract, including screening for hip and elbow dysplasia, thyroid and eye abnormalities?_______________________________________________

If you are purchasing a companion puppy, are you still willing to obtain all necessary health clearances listed above so that we can maintain records of our Kuvasz in order to ensure the highest of breeding standards?______________

Please complete this form and return by snail mail or email:
                                                                                Pam Jenni
                                                                                27781 E. 21
                                                                                Catoosa, OK  74015