Puppy Questionnaire
About You
Date
First,Last names and ages of all family members
Street Address
City
State
Zip
Do you own this property?
Yes
No
How long have you been at this address?
Email
Home Phone
Mobile Phone 1
Mobile Phone 2
Who works in your household?
Work Hours
Employer
Title/Position
Employer Phone
Are you married?
Yes
No
How Long?
About the Puppy
Dog Type
Pet
Show
Gender
No preference
Male
Female
Coat Type
No preference
Curly
Wavy
How did you learn about the breed?
Who referred you to me?
What is your current schedule?
How would you accomodate a puppy in your schedule?
How many hours will the puppy be alone?
What will the puppy do for extended time home alone?
Where do you plan for the puppy to spend most of its time when you are not at home?
Do you have any hesitation about spaying/neutering?
Yes
no
What activities do you plan for the puppy as it grows?
Do you understand these dogs need daily exercise?
Yes
No
How do you plan to socialize your puppy outside the home?
Do you understand crate training?
Yes
No
Do you have a fenced yard?
Yes
No
Do you plan to leave the puppy outdoors alone for extended periods of time?
Yes
No
Will the puppy have supervised outdoor access?
Yes
no
Are you planning any children?
yes
no
Will the puppy have access to children?
yes
no
Do you plan to go to dog parks for exercise?
yes
no
Do you plan to attend puppy classes?
yes
no
Do you know of a dog club in your area to further the puppy's education?
yes
no
Would you be interested in working with your puppy in any of the following?
obedience
agility
water
therapy
other
none
Do you have other pets?
Yes
No
If so, what kind?
Are you aware of the grooming time and expense?
Yes
No
Have you looked for a groomer?
Yes
No
Are you interested in grooming yourself?
Yes
No
Do you have a veterinarian?
Yes
No
Please give a personal reference and include relation and phone number
