Riverbend Golden Retrievers Puppy Questionnaire
Please answer all questions honestly. The completion of this form does not imply the approval of a pup.
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Please tell me about your family, members, ages, and what you enjoy to do as a family?
What do the adults in the household do for work?
How long would the puppy be left alone during the day?
Describe your living situation? (House, apartment etc)
Do you have a fenced yard?
Yes
No
Other
Do you have a Pool?
Yes
No
Getting one
If yes, Is it fenced and secured?
Yes
No
Not applicable
Have you ever had a dog(s) before? If yes, what breeds? How long? Is that pet still alive, and if not what happened?
Why do you want a Golden Retriever?
What are the characteristics you're looking for in a Golden? (Sex, colour, coat, activity level).
What are your thoughts on Crate training a new puppy?
What are your thoughts on Spaying and Neutering your dogs?
What are your thoughts on obedience classes with you new puppy?
How much exercise do you think an adult Golden Retriever needs?
Are you comfortable with me choosing the right puppy for your family (with your input and wants/needs applied)?
Yes
No
Not sure
Please give me the name and contact information for your Veterinarian reference (please inform them I will be possibly calling for information)
Please give me the name and number of 2 more references.
Thank you for filling out our questionnaire, is there anything else you would like us to know??
Submit
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