Information Questionnaire

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 NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
E-mail*
use your most preferred address
What sex puppy are you interested in?*

MaleFemaleNo Preference
What color puppy are you interested in?*

BlackYellowChocolateAny
What will be the primary purpose of your puppy? Check ALL that apply…*

Family PetShowBreedingHunt Test/Field TestAgilityObedienceHuntingTherapyOther Performance EventOther
Our pet puppies are placed on AKC Limited Registration and a spay/neuter agreement. Would you agree to this? *

YesNo
If no, please give a brief explanation as to why…

in 200 words or less0/200
Name of Spouse(If applicable):
Do you have any children?*

YesNo
If Yes, what are their ages?
Do you currently have pets?*

YesNo
If yes, what kind and age?
Your Occupation:
Spouses Occupation
What best describes your home?*

Single FamilyApartmentCondo/TownhouseOther
Do you own your home? *

YesNo
If no, please provide the name and phone number of your landlord/property manager.
Do you have a fenced yard?*

YesNo
All AutumnView puppies are exposed to crates. Are you familiar with crate training?*

YesNo
Are you willing to continue to use a crate to aid in house training?*

YesNo
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?*

YesNo
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?*

YesNo
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?*

YesNo
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?
If you want a copy click Print Form. Then click Submit to send it to me..
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Thank you for your interest in an AutumnView puppy!