PLEASANTSTONE
PEMBROKE WELSH CORGI 
PUPPY BUYERS QUESTIONNAIRE 
What type and temperament are you looking for in your new puppy? We are 
dedicated to breeding great Corgis and finding them great homes. In order to 
help us to make a recommendation as to which puppy might best suit you lifestyle 
we have some voluntary questions. We want to place the puppy in an environment 
that suits them well. As the puppies grow we become familiar with each pups 
conformation and individual personality. Hopefully with this information we will 
be better equipped to guide you toward a puppy which realistically suits your 
experience, needs and goals.
Name(s):___________________________________________________________________
Address:____________________________________________________________________
Home Phone____________________Work Phone_________________best time to 
call?________
Where do you live? (Circle one) City Small Town Rural Farm Do you rent your 
home?___
Please list the adults and children currently residing in your 
home_________________________ 
_____________________________________________________________________________
Occupation of working adults in family (including 
homemaker)?___________________________
How were you referred to us, Pleasantstone 
Farm?______________________________________
Do you have a fenced and secure yard?______Kennel/dog run?_____If ‘No’ how do 
you plan to 
confine this dog to your yard for its 
safety?_______________________________________
Do you have a dog crate or carrier? _____ Are you familiar with crate 
training?________
If you could no longer keep the dog for some reason would you contact us and 
return the Corgi to us?____ If No please explain your 
reason__________________________________
Is this puppy intended for breeding? Will you spay or neuter this Corgi?____ If 
No please explain your 
reason___________________________________________________________________
What sort of confirmation and movement are you looking 
for?___________________________
If you had your choice of two puppies, one with perfect conformation, but 
low-moderate drive(a little quieter), and one with good conformation and high 
drive(eager) which one would you choose? Please explain 
why______________________________________________________
Where will your Corgi sleep at 
night?_______________________________________________
Where will your Corgi stay during the 
day?___________________________________________
Who will have the main responsibility and care of this 
Corgi?_____________________________
Are you willing to take this puppy to puppy obedience classes and dog obedience 
classes?______
If ‘No’ please explain your 
reason____________________________________________________
What are you plans for exercising this 
puppy?_________________________________________
How much time do you plan on spending with your 
puppy?______________________________
What is your ideal goal for this 
puppy?______________________________________________
What is your realistic goal for this 
puppy?____________________________________________
Please list any books on Dog care that you have 
read____________________________________
I am interested in a Corgi for (circle one) Pet Show Breeding Herding Obedience 
I would like (circle the ones that apply) Male Puppy Female Puppy Male Adult 
Female Adult
Male Adult(neutered) Female Adult (spayed) Fluff(long haired Corgi)
If circled more than one which one do you prefer?____________
When would you like to purchase this puppy or dog?_________________________
Color Preference:(circle) Red&White Tricolor Sable Any Color
What do you like about Corgis?_______________________________________________
What do you not like about Corgis?_____________________________________________
Have you ever had a Corgi?____________________________________________________
What other breed(s) of Dogs have you 
had?________________________________________
How long did you have them and what is the reason that you no longer have 
them?______________________________________________________________________
 
References: Provide name, address and phone # please
The following people have been to my house and know my general attitude towards 
animals:
1._________________________________________________________________________
2._________________________________________________________________________
If you have anything else you would like to share with us about what you want 
for your new Corgi; what activities you will do with the dog, what your 
lifestyle is like, what animals you have at home, if you plan a special task for 
this Corgi please do!
A typical Corgi temperament is very people oriented, active, alert, and eager to 
please. They need to be involved in the family or have some kind of work to do. 
Easily trained and very intelligent they do not do well if left alone in the 
back yard with little human contact. Owning a dog is a serious commitment and we 
want this to be a successful and rewarding experience for you and your 
household. If you are like us and many others you may find you cannot imagine 
your lives without a Corgi to love.
Some good doggy books:
1. The Complete Pembroke Welsh Corgi, by; Harper
2. How to raise a puppy you can live with, by; Rutherford and Neil
3.Good Owners, Great Dogs, by; Brian Kitcommons
4. The Farmer’s Dog, by; John Holmes
Your Corgi will be a reflection of the love, the time, the training and the care 
that you put into him. If you are dedicated to the care of your new puppy for 
its lifetime we would be most pleased for a Cornerstone Farm Corgi to become a 
member of your family! 
Please print out this questionnaire (or ask us to mail you one) and return it if 
you wish to be placed on our waiting list (approx. 6-12 month depending on your 
needs). We will contact you when our next litter is ready to evaluate. At that 
time we require a non refundable deposit, to reserve one of our Pembroke Welsh 
Corgi Puppies for you.
Buyers signature________________________________ date:_____________________
 
Pleasantstone Corgis
David and Julie Mahoney
P O Box 1483
Jacksonville Oregon 97530
(541)840-6345 email: info@pleasantstonewelsh.org