• Name:
• Address:
• Phone (home):
(work):
• Referred by:
• What reference materials have you read?
• Which breed are you interested
in?
• Type of dwelling: house, condo, apartment, or mobile home
• If renting, please give name and
address of landlord:
• Name, address and phone number of your veterinarian:
1. Who will be the primary care giver?
2. Where will the puppy be kept during the night?
3. Where will the puppy be kept during the day?
4. Is anyone home during the day?
5. How many hours
on the average will the puppy be left alone?
6. Will there be someone available to feed and exercise the puppy during the
day?
7. Have you ever owned a dog before?
8. Do you have any other animals?
9. Do you have any children? If yes,
what are their ages.
10. Does anyone in your household have allergies to animals?
11. If yes, to what and how severe?
12.
Are you interested in a male or female puppy?
13. At what age do you wish to get the puppy?
14. Have you considered
an older dog instead of a puppy?
15. How did you hear about this breed?
16. What do you expect the activity level of
this breed to be:
very high high moderate below average
17. How many hours a day will the puppy be kept outside?
18.
How will he be confined when he is outside?
19. Do you have a fenced yard or suitable pen?
20.
Have you ever house trained a dog before?
21. How long have you lived at this address?
22. Will
you be attending any training classes?
23. How long did your last pet live? What were the circumstances of its' death?
24. Have you ever returned a pet to the breeder? If so, what were the circumstances?
25. Have you ever given a pet away? If so, what were the circumstances?
26. Have you ever taken a pet to a pound or shelter? If so, what were the circumstances?
27.
Do you intend to breed the dog?
