Your name:
Email:
Address:
Phone:
Breed:
Vet:
Address of Vet:
Phone # of Vet
Who will be the primary caregiver?
Where will the puppy be kept at night?
Where will the puppy be kept during the day?
Is anyone home during the day?How many hours might the puppy be
left alone?
Have you ever owned a dog before?
What pets do you currently own?
Do you have any children? If yes, what are their ages?
Does anyone in your home have allergies to animals? If so, to what
kind and how severe?
Are you interested in a male or female?
How did you hear about this breed?
What do you expect the activity level of this breed to be? Very
High
High
Moderate
Below
Average
Do you have a fenced yard or a suitable pen for outside activities?
How many hours a day will he or she be left outside?
Have you ever house trained a dog before?
Will you be attending any training classes?
How long did your last pet live? What were the circumstances of
you pets' death?
Have you ever returned a pet to the breeder? If so, what were the
circumstances?
Have you ever given a pet away? If so, what were the circumstances?
Have you ever taken a pet to a pound or shelter? If so, what were
the circumstances?
Do you intend to breed the dog?
