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Laura Paynter
Lucasville, OH
740-820-8500 (phone)
740-820-8905 (fax)
corgihaven@gmail.com (email)

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Evaluation Questionnaire
form

Corgihaven Questionnaire


We want to make sure that our dogs are sent to people who truly will care for them.  If you are interested in purchasing a Corgi, please take the time to fill out the following information so that it may be evaluated.  Once approved, we will fill out the applicable parts of the sales contract and send it to you.  All information will be kept private.

(Note: because we do not yet have an error page for incompleted questionnaires please read and review your form carefully before submitting, and fill it out to your best ability. If you do make a mistake and already have submitted the form, just fill out your name and the fields you wish to fix and resend. Thank you!)

* indicates fields that absolutely must be provided or your questionnaire will be voided.

At least a city is required for the address. E-mail must be valid. Because it's a good way of organizing information that we can look back at easily for reference without tying up the phone-line, we prefer contact via e-mail.

Lastly, in the event of possible loss of an e-mail (hasn't happened yet) it might be a good idea to make a copy of any long commentaries or remarks you might have that you don't want to have to re-write, using something simple such as Notepad or Wordpad or in an e-mail you can send to yourself.

We do not ship overseas.

Now also accepting PayPal; fees may apply.

1. Please provide the following personal information:
First Name
Last Name

2. Please provide the following contact information:
(You must provide at least a city to complete the questionaire for your address, and to later receive a contract you must have a full address.)

Phone Number
Email*
FAX
Address*

3. Have you ever raised a puppy before?

Yes No

4. Are you interested in a male or female Corgi?

Male
Female
Either (doesn't matter)

Note: If you are interested in more than one Corgi, please specify this and other comments at question No.20.

5. Please specify the color(s) of the animal's coat you're interested in:


6. What intentions do you have for the Corgi's lifestyle? (i.e. family pet, breeding, specific work tasks, etc)


7. You decide the Corgi's not for you sometime after it's in your possession. What would you do in this case?


8. What kind of environment do you have available to the Corgi for outside activities? Do you have an outdoor shelter? Please specify.


9. Do you have children? To help us decide suitability please let us know how many children you have and their ages. If not, just leave blank.


10. If you get a rescue or an older animal will you be able to cover their monthly medicine after what is sent with them runs out?

Yes
No
I don't know

11. Are you willing to work with changing a few small things in your home for a Corgi with allergies?

Yes No

12. Did you see a Corgi on our website that has captured your interest? If so, which one(s)? (If no, leave blank).


If the answer is no, would you like us to show you Corgis we believe would suit you (based on this Questionnaire)?

Yes No

13. Do you have any problem with us calling a few times after the animal is placed with you?

Yes No

14. Are you willing to feed your dog Purina One? (the food they have been eating)

Yes No

15. Are you interested in a Corgi that does not have papers?

Yes No

16. If you cannot get the medicine the dogs are used to taking are you willing to have me get it and charge you for the medication as well as overnight shipping? (It has to be kept cold)

Yes No

17. If there is shipping involved are you willing to use the airline we chose?

Yes No

18. Shipping will be $250 for puppies and between $350 and $450 for adults. This price depends on the weight of animal, cage food, water and bowls. The cage size depends on the estimated travel time for the dog's comfort. You also have the options of picking the Corgi up yourself, which will include a fee less costly than a plane ticket. Due to travel for another business of ours it is sometimes possible for us to personally deliver for a smaller fee than a plane ticket; many times we will meet people half-way which is also less than a plane ticket cost. These options will be discussed with you over the phone or e-mail. With this information what form of delivery are you considering?

Shipping (airline)
Delivery (from us directly to you)
Pick-up (from you directly to us)

The shipping charges and delivery charges are in addition to the cost of the animal itself.


19. How would you like the contract sent to you? (No animal will be held while waiting on contract unless 50% of the cost of the animal has been placed on deposit.)

Fax
Standard Mail
Overnight Mail (costs will apply)

20. Any other comments or questions feel free to add here:





Copyright © 2007 Corgis Are Us Kennel & Rescue Haven.
All rights reserved.
Revised: July 10, 2007.

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© 2006 Corgis Are Us Kennel & Rescue Haven
All rights reserved.