Oxbau Akitas
Questionnaire

Thank you, for taking the time to answer a few of our questions. These questions will best help us suit your needs. If you find you don’t have enough room to answer all for the questions, please write on the back, or attach another paper. Please return to Oxbau Akitas ~ Malea Sterling ~11012 N. Old Settlement Rd~ Zcahary ,La ~ 70791

Name: _________________________________________________________________

Address: __________________________ City: ______________________________

State: _____ Zip: ________ Phone: ______________ Work: _________________

Do you own any other Akitas Male / Female? ________________________

If yes, how many? _______ Are they altered or intact? _______________

Where did you acquire it (them)? _______________________________________

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If you have never owned an Akita, why do you want one now? ___________

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2. What are you looking for in an Akita? Show Quality or Companionship? ______________________________________________________
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Do you prefer a male or female? _____________________________________

4. What specific traits do you want in an Akita? Colors, size, structure, etc.____________________________________________________________________________________________________________________________________________________________________________________________________________________

5. Do you own or rent your residence? Do you reside in a house, condo, or an apartment? ______________________________________________________
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6. If you rent, does your landlord approve of an Akita? Or if you own do you have an association in your neighborhood and do they have any issues with Akitas? ____________________________________________________
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7. Do you have children? If yes, how many and their ages? ____________
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8. Do you have any other pets? If yes, what types? ____________________
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9. Have you ever returned an animal from which you purchased or acquired it? What was the reason, if yes? ______________________________
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10. Do you have a fenced dog run or yard? How tall is the fence? What are the dimensions of the run? _________________________________________
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11. Where will your Akita spend its time? Outside, inside the home, a run, or crate, etc.? _____________________________________________________
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12. Will you allow an in home visit before placement of a puppy? _______
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13. What types of research have you done on the Akita? Please explain: ________________________________________________________________________________________________________________________________________________________________________________________________________________________

14. Have you ever bred a litter of dog? If yes, what kind and how many? ________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please include references, telephone numbers, photos of fencing, yard and home……or unfortunately this application will be ignored.

Thank you, again for answering a few questions for us. It will in the end enable us to suit your needs with possibly one of our Akitas.

**All required info must be submitted before a deposit will be accepted!

Signature: _______________________________________ Date: ____________

Signature: _______________________________________ Date: __________

Oxbau Akitas

Malea D. Sterling

11012 N.Old Settlement Rd

Zachary,La 70791