Puppy Questionnaire First Name(required) Last Name(required) House Number (Address)(required) Street(required) City(required) State(required) Zip Code(required) Phone Number(required) Email Address(required) How many adults live in your household? What are their ages?(required) How many children live in your household?(required) What are their ages? Who will be the primary caregiver? (Name and Age)(required) What are the occupations of the adults in the household?(required) How many hours a day will the dog be home alone?(required) 1 2 3 4 5 6 7 8 9 10 Will there be someone who can exercise the dog during the day?(required) Yes No Have you ever had a dog before?(required) Yes No If yes, do you still have the dog? If not, please explain what happened. What type of training do you plan on for your puppy? At what age?(required) Does anyone in your household smoke or use Vapor products?(required) Yes No If yes, inside or outside?(required) Inside Outside N/A Do you own your home or rent? If rent, Do you live in an apartment? Are pets permitted?(required) I own my home. I rent a house and pets are permitted. I rent a house and pets are not permitted. I rent an apartment and pets are permitted. I rent an apartment and pets are not permitted. Do you have a fenced in yard?(required) I have a full tactile fence. I have a partial tactile fence. I have an invisible fence. I do not have a fence but I can put in a full tactile fence if need be. I do not have a fence but I can put in an invisible fence if need be. I do not have a fence. If no, how will the dog be confined outdoors? (To go potty, not a walk or a dog park) How big is the yard that your dog will have access to? (In feet squared) (required) Please check all that apply: I am interested in black spotted only. I am interested in liver brown spotted only. Color doesn't matter. I am interested in male only. I am interested in female only. Sex doesn't matter. I plan on breeding my dog. I will have my dog spayed/neutered. I want to show my dog (Conformation). I want to show my dog (Performance). I am only interested in an AKC puppy. I am only interested in a UKC puppy. I want a healthy good tempered puppy. I really don't care whether they are AKC or UKC registered. I am interested in an adult housebroken dog. Do you have any other animals? If yes, please describe the species, breed, spay/neuter status, personality, and age.(required) Why did you choose this breed?(required) Have you ever returned a pet to a breeder?(required) Yes No Have you ever given a pet away or resold a pet?(required) Yes No Have you ever handed a pet over to a rescue or shelter organization?(required) Yes No If you answered yes to any of the three previous questions, please explain the situation. If there is anything else that you would like for us to know, please feel free to write about it below. Submit Share this:TwitterFacebookLike this:Like Loading...
