Puppy Questionnaire

First Name(required)

Last Name(required)

House Address Number(required)

Street(required)

City(required)

State(required)

Zip Code(required)

Phone(required)

Email Address(required)

How many adults live in your household?(required) 1

2

3

4

5

More than 5

What are their ages?(required)

What are the first and last name(s) of all of the adult in the household?(required)

How many children live in your household?(required) None

1

2

3

4

5

More than 5

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)

On average, how many hours a day will the dog be home alone?(required) 1 – 3 Hours

4 – 6 hours

7 – 9 Hours

More than 10 hours

Will there be someone who can exercise the dog during the daytime if you will be gone for long hours? (Family Member or Doggy Daycare)(required) Yes, an adult in our family will be home for at least half of the work day.

Yes, an adult in our family will be able to come home during lunch time.

Yes, someone outside of our household can stop in during the day. (Dog Sitter, Extended Family Member, Neighbor, etc.)

Yes, I will just use doggy daycare on days that the dog will be alone for long periods while I am at work.

No.

Have you ever had a dog before?(required) Yes

No

If yes, please list the breeds that you have owned in the past or currently own.(required)

If yes, do you still have the dog? If you no longer have the dog, please explain what happened.(required)

What type of training do you plan on for your puppy? At what age?(required)

Where will the puppy sleep during the first few months with you?(required)

Where will the puppy sleep after they are house trained to not have accidents or be destructive?(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, are pets permitted?(required) I own my house.

I own my condo.

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 fully enclosed tactile fence.

I have a partially enclosed tactile fence.

I have an invisible fence.

I do not have a fence, but can put in a fully enclosed tactile fence if need be.

I do not have a fence, but 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? (e.g. 100' x 100', 1/4 Acre, 3 Acres)(required)

Check all that apply:(required) 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 want to show my dog (Conformation).

I want to show my dog (Performance).

I want a healthy good tempered puppy. I really don't care whether they are AKC or UKC registered.

I am only interested in an LUA puppy.

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 is your reaction to the three pictures above?(required)

What is your average weekday like?(required)

What is your average weekend like?(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.

What are your thoughts after reading our "What To Expect" Page?(required)

What are your thoughts on the article "Is a Dalmatian right for you"?(required)

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 article "Is a Dalmatian right for you" and understand that Dalmatians are wonderful pets when they have enough mental and physical exercise. I understand that they are bred to run and guard. (required)

I have read the "What to Expect" page on Chalet Dalmatians 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!!!