Puppy Questionnaire

Prospective Puppy Buyer Questionnaire

Name*

First NameLast Name

Address*

Address 2

Phone Number*

Area CodePhone Number

City*

State / Province*

ZIP / Postal Code*

Email*

example@example.com

Phone Number

Area CodePhone Number

Alternate Phone

Area CodePhone Number

E-mail*

Do all family members want a puppy?*

YesNo

Please Explain.

Do you want a male or female puppy?*

MaleFemaleNo Preference

Do any family members have allergies to dogs?*

YesNo

Do all family members want a puppy?*

Do you have any pets?*

YesNo

Please let us know what pets you have.*

Are they spayed or neutered?*

YesNoN/A

If you need more space to explain, please do so below.

Do you live in a home with a yard?*

YesNo

What size is your yard?*

Is your yard fenced?*

YesNo

Are the gates kept locked?*

YesNoNot Gated

Do you have a swimming pool?*

YesNo

Is the pool fenced?*

YesNo

Where will the puppy be kept?*

How long will the puppy be left alone during the day?*

Have you ever owned a puppy?*

YesNo

Have you ever owned a Golden Retriever?*

YesNo

Are you aware a Golden Retriever sheds?*

YesNo

Do you plan to crate train your puppy?*

YesNoNot sure

Do you plan to take your puppy to obedience or to puppy training classes?*

YesNoNot sure

Are you willing to spay / neuter your pet?*

YesNoNot sure

If buying a Show Quality puppy, are you willing to co-own the dog until you have all the clearances (Hips, Elbows, Eyes, Heart)?*

YesNoN /A

Note: At the time all clearances are completed we will sign off as a co-owner.

If you decide to reserve a puppy, do you agree to a non-refundable deposit?*

YesNo

Please tell us a little bit about you and your family.*

Phone Number

Area CodePhone Number

Phone Number

Area CodePhone Number