top of page

Demographic survey

ONLY ONE FORM SUBMISSION ALLOWED.


This survey is to help us understand the types of families that are looking for Australian Shepherds and to help assist in matching our puppies to their new homes. Discounts offered to qualified homes.

How do you describe your gender?
Female
Male
Do you currently own a pet?
Yes
No
What type of pets do you currently own?
What is your age range?
Less than 18 Years
18 - 29 Years
30 - 49 Years
50 - 69 Years
70 Years or Older
How many people live in your household?
1
2
3-4
5 or more
What is your current relationship status?
Single, never married
In a relationship or domestic partnership
Married or civil union
Separated or Widowed
Divorced
Prefer not to say
Have you served in the military, armed forces, reserves, or National Guard?
Yes, currently serving
Yes, I am a veteran (no longer serving)
No
Prefer not to say
Which of the following best describes the type of home or residence you currently live in?
Single-family / detached home
Apartment or duplex
Condominium / town house
Mobile home / trailer
Dormitory or shared housing
Do you have children under 12 in your household?
Yes
No
Does anyone in your household have any physical, mental, or cognitive conditions that substantially affect their daily activities?
Yes
No
Prefer not to say
What other resources are you interested in for you new companion?
bottom of page