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)

Will there be someone who can exercise the dog during the day if you are gone for long hours? (Family Member or Doggy Daycare)(required)

Have you ever had a dog before?(required)

If yes, please list breeds that you have owned in the past.

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)

If yes, inside or outside?(required)

Do you own your home or rent? If rent, Do you live in an apartment? Are pets permitted?(required)

Do you have a fenced in yard?(required)

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? (e.g. 100' x 100',1/4 Acre, 3 Acres)(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 the Dalmatian breed?(required)

What was your reaction to the three pictures on the what to expect page?(required)

Have you ever returned a pet to a breeder?(required)

Have you ever given a pet away or resold a pet?(required)

Have you ever handed a pet over to a rescue or shelter organization?(required)

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.

I have read the link above and understand that Dalmatians are a wonderful family pet when they have enough mental and physical exercise. I understand they they are bred to run and are guard dogs.(required)

I have read the What To Expect page on your website.(required)

Before Filling out our questionnaire, please read this short informational page, titled “Is A Dalmatian Right For You?”, from the Dalmatian Club of America and our what to expect page!!!