If you are interested in purchasing one of my puppies or adult dogs please fill out the questionaire and submit it. Thank you
Name:
Address:
Phone:
Referred By:
What reference material have you read?
Have you been acquainted with anyone who had this breed? If yes, who?
What type of dwelling do you live in?
If renting please supply me with the name and address of your landlord
Veterinarian reference. Name, address and phone number
Who will be the primary caregiver?
Where will the puppy be kept during the night?
Where during the day?
Is anyone home during the day?
How many hours during the day will the puppy be left alone?
Do you believe in crate training?
Will there be anyone available to feed and exercise the puppy during the day?
Have you ever owned a dog before?
Do you have other animals? If yes what kinds
Do you have any children? If yes what are their ages?
Does anyone in your household have allergies to animals?
Are you interested in a male or a female?
Color?
What do you expect the activity level of this breed to be?
How any hours a day will the puppy be outside?
Will the puppy be supervised during that time?
How will he/she be confined when outside?
Have you ever housetrained a puppy before?
Will you be attending any classes with the puppy? If yes what kind?
Have you had a pet killed in an accident If yes please explain
Have you ever given a pet back to the breeder? If yes why?
Have you ever given a pet to the shelter? If yes why?
Are you interested in showing the dog in conformation or performance events? if yes please specify
Do you inte
nd to breed the dog?
Do you understand the difference between a limited registration and full registration?
Are you interested in a puppy or an adult?
Email address:
House
Apartment
yes
no
yes
no
yes
no
yes
no
yes
no
yes
no
yes
no
yes
no
male
female
high
moderate/low
yes
no
yes
no
conformation
obedience
yes
no
yes
no
yes
no
yes
no
yes
no
yes
no
puppy
adult
red & white
tricolor
