PUPPY QUESTIONNAIRE FORM

PUPPY QUESTIONNAIRE FORM (please complete)

Name *
City *
State *
E-mail Address: *
Type of Dwelling *	House Duplex Apartment Mobile Home
Do you rent or own your home? *	Rent Own
Is your yard fully and securely fenced? Describe *
What type of fencing is your fence composed of? *
Where will the dog be kept? (Choose one) *	Mainly Indoors In at night and out during the day Outside all the time
What size is your lot? *	Small Medium Large Extra Large Acreage
Will the dog be tied up? *	Yes No
Where will the dog be kept when home alone or when you are unable to supervise? *
How many hours of the day will the puppy be left alone? *
Have you had dogs before or currently? Please list any currently owned pets (all types) including type & age. *
Is any one in the family allergic to animals? *
Do you have children? If so what are their ages? *
Why do you want this dog? *
What is your planned method of exercise? What is the amount of exercise you are expecting and willing to provide daily? *
What sex, size and color do you prefer? *
What type of temperament are you looking for? *
Would you be willing to accept a home inspection by myself or a friend, prior to approval for a puppy purchaser? *	Yes No
Any other information you wish to add to assist in matching you with a puppy?


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