Puppy Questionnaire Form





Please fill out our puppy question form and copy and paste to your email to send to us. We find this is the best way
that we are able to get the question forms.





Name:___________________________________________________

Address:_________________________________________________

________________________________________________________


Phone Numbers:  
home and work:___________________________________________

How did you hear about us?                                                                 

Your Email Address:                                                                            

Do you own any other Akitas or dog if so please let us know male or female?  How many?
Are they spayed/neutered or intact?  Where did you acquire your akita or dog?

Have you ever bred a dog or had a litter? If so please explain.



Why are you interested in the akita?



What are you looking?  Show Quality or Companionship (pet)?



If you are looking to acquire a Companion(pet) Akita, will you spay or neuter your puppy?



If you are looking to acquire a potential Show Quality have you ever shown before? If so please explain.



Do you prefer a male or female?



Puppy or would you consider an adult?



What are you looking for in an Akita? Colors, size, structure, etc.



Do you own or rent your residence?  Do you reside in a house, condo, or apartment?

Some homeowners insurance companies will not insure a home with an Akita; do you know what your policy
requirements are?



Do you have children? If yes, how many and their ages?



Do you own any other type of pet?  If yes, what types?



Have you ever had to returned or give up an animal from where you purchased or adopted it?  Why?



Where do you plan on keeping this akita?



Do you have a fenced yard?  How tall is the fence?  



Will you allow an in home visit before placement of a puppy?



What research have you done on the breed of the Akita?  Do you know about their temperament traits,
dominance, and possible aggression towards other animals? Please explain:



Why are you interested in getting an akita from Orients Pride Akitas?



Please give 3 References: (Veterinarian,  breeder of a previous dog, Dog Trainer, etc.) Including phone numbers.





When sending us your application please do one of the following:

* Fill out, copy and paste and email it to us at orientsprideakitas@yahoo.com or a>

*Copy and print form and mail to us at Orients Pride Akitas   156 Flat Rock Road.    Malone, NY 12953-1707

Please include photos of your house and yard  with fencing so that we are able to see where this akita will be living.
















Thank you.

Signature: _____________________________________________ Date: _____________

Signature: _____________________________________________ Date: _____________
If you are interested in a puppy from our kennel we require a deposit letter to be filled out
and also a contract must be signed or we will not sell you a puppy. This is to protect  both
buyer and breeder.