Online Questionnaire - SweetBreeze Golden Retrievers

Online Questionnaire:

Your assistance in completing this questionnaire will help us place the right puppy with you. If you feel that additional information would be helpful, please add it on the reverse side. All information will be kept confidential and used only by us. We thank you for your cooperation and interest.

Name

Address

City

State

Zip

Phone

Fax

E-mail address

Occupation

How did you learn about us?

Why have you decided to purchase a Golden Retriever?

What sex do you prefer? Male Female

What age do you prefer? Puppy Adult

For what purpose are you purchasing a Golden Retriever?
Pet? Obedience? Show? Field? Hunting? Breeding? Tracking?

Are there any other pets currently in your home? number of dogs, cats, or other?

Are these other pets neutered/spayed? Yes | No | Other
More information:

Do all members want a new puppy? Yes | No

Are there children in family? Yes | No
Children ages?

Do any family members have allergies to dogs? Yes | No

Do you rent or own?Own | Rent

I live in a(n) house? | apartment?

Where will your Golden be accommodated during the day? House? (Explain)

Dogrun with a doghouse? Yard with doghouse combo? (Explain)

Do you have a securely fenced yard? Yes | No
Padlock your gates? Yes | No
Have a kennel run? Yes | No

Are you committed to care for this dog's needs for his lifetime? Yes | No

Are you willing to take this dog to obedience classes in order that he will become an enjoyable companion and a canine good citizen? Yes | No

Who will train this dog? (Explain)

Have you ever completed an AKC title in obedience, field, breed? Please list titles completed: (Explain)

What type of personality are you looking for in your puppy? (Explain)

If you ARE considering breeding this dog, are you willing to obtain all the necessary clearances beforehand: OFA, CERF, SAS, and brucellosis? Yes | No

If you ARE NOT considering breeding this dog, are you still willing to obtain clearances of OFA, CERF, and SAS to help us maintain the highest of breeding standards? (Your assistance is critical in establishing this data bank) Yes | No

Have you previously owned a dog? Yes | No

Are you willing to neuter/spay this dog? Yes | No

If not, why?

If you decide to breed this dog, are agreeable to consulting us before selecting a proper mate? Yes | No

Have you ever had to euthanize a dog? Yes | No

If yes, why?

Any other comments:

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