Thank you for your interest in an AutumnView puppy!
This questionnaire was designed to get to know a little about you and your family with the hope of being able to provide you with the best puppy for your situation. Please take a few moments to answer these questions and feel free to contact me for any clarification.
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
Format: (000) 000-0000.
E-mail
*
use your most preferred address
What sex puppy are you interested in?
*
Male
Female
No Preference
What color puppy are you interested in?
*
Black
Yellow
Chocolate
Any
What will be the primary purpose of your puppy? Check ALL that apply…
*
Family Pet
Show
Breeding
Hunt Test/Field Test
Agility
Obedience
Hunting
Therapy
Other Performance Event
Other
Our pet puppies are placed on AKC Limited Registration and a spay/neuter agreement. Would you agree to this?
*
Yes
No
If no, please give a brief explanation as to why…
in 200 words or less
0/200
Name of Spouse(If applicable):
Do you have any children?
*
Yes
No
If Yes, what are their ages?
Do you currently have pets?
*
Yes
No
If yes, what kind and age?
Your Occupation:
Spouses Occupation
What best describes your home?
*
Single Family
Apartment
Condo/Townhouse
Other
Do you own your home?
*
Yes
No
If no, please provide the name and phone number of your landlord/property manager.
Do you have a fenced yard?
*
Yes
No
All AutumnView puppies are exposed to crates. Are you familiar with crate training?
*
Yes
No
Are you willing to continue to use a crate to aid in house training?
*
Yes
No
If no, please explain why not…
Group obedience classes are a wonderful tool in creating a well-behaved pet. Are you willing to attend a class with your new puppy?
*
Yes
No
Where will your puppy be kept during the day?
*
Where will your puppy be kept during the night?
*
On a average day, how many hours a day will the puppy be alone?
*
Please tell me a bit about your daily routine…
*
Purchase price is just the beginning, considering the cost of veterinary care, food, toys, crate, classes etc do you feel you're financially able to take care of a puppy/dog for its lifetime?
*
Yes
No
If for any reason you're unable to keep your AutumnView puppy/ dog, will you agree to return him/her to me so that he/she can be placed in another suitable home?
*
Yes
No
Have you been in contact with or are you on a waiting list for any other breeder? If so, please list
Is there anything else you would like me to know about you or your family?
Is there anything you would like to know about me or my dogs?
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