SnoBear Berners Puppy Adoption Questionnaire
This is NOT a form to purchase a puppy, it helps us determine if we might have a puppy that would be suitable to place with your family.
Name:
First Name
Last Name
Name:
First Name
Last Name
Email
example@example.com
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone #
-
Area Code
Phone Number
Cell phone#
-
Area Code
Phone Number
Occupation - You
Hours Worked
Full time
Part time
Work at home
Retired
Occupation - Spouse/Partner
Hours Worked
Full time
Part time
Work at home
Retired
Other
Do you have children living at home?
Yes/No / How many/Ages/Boys/Girls
Do you live in a House/Apartment/Condo/Townhouse
Type Housing
Do you have a securely fenced yard for the puppy?
Yes/No
What attributes are most important to you in a Bernese Mountain Dog?
Personality details
Any Household Members Allergic to Pet Dander/Hair?
YES
NO
Don't Know
Other
If life changes happen, what would happen with your pets?
IE: Loss of Job, Divorce? New Baby? Move to no pets allowed?
Are you currently on any puppy waiting list?
deposit put down on puppy?
Why have you decided to add a Bernese Mountain Dog to your family?
When are you looking to adopt a puppy?
Please type these factors in the box below, in the order of importance to your choice in a puppy. You can leave out any that don't matter to you at all. A. Structure, B. Markings C. Temperament D. Sex E. Family Companion, F. Potential Obedience Dog, G. Pet Therapy, H. Search & Rescue, I. Potential Show Dog, J. 4H or FFA Project, K. Breeding, Longevity, M. Size, N. Other __________
Choose Importance
If you rent are large pets allowed?
Yes/No
Do you own or rent your home?
own/rent
Do you plan on moving anytime soon?
Is anyone home during the day? Where will puppy stay if you work? Will someone be at home to raise the puppy? Will daycare be used after puppy had completed all puppy shots? Please explain.
arrangements
Where will puppy sleep?
Are you willing to attend a group puppy class with a puppy?
YES
NO
Other
How many hours on an average day will your puppy spend alone?
hours alone.
Do you own any Pets Now?
Yes/No
If you own dogs please list: breeds, male or female? Spayed/Neutered? Ages?
Type a Have you ever owned a Bernese Mountain Dog?
Yes
No
If Yes, whom did you purchase from?
Breeder
If you've never owned a Bernese, what breeds have you owned in the past?
Do you have a pool? If so how will you protect your puppy from drowning?
Who will be the primary puppy caregiver?
Please list your vet's name, address and phone#
Have you ever returned a puppy/dog to their breeder? Please explain if so.
returned
Have you ever been charged with animal neglect or cruelty?
charges
Have you ever had a litter of puppies?
Please give us any other details or information that you feel will help us to know your family and your needs in respect choosing a puppy best suited to your family and lifestyle.
AS a condition of adopting to adopting one of our puppies we require that if at any time during this puppy's lifetime due to unforeseen circumstances, at any age, you can no longer care for and keep him/her living with you; you will return the dog to uswith no compensation and give up all rights to the dog. Will you agree to this requirement?
Yes
No
Yes/No
Although we strive to breed the longest living, healthiest puppies possible, and screen the parents for health issues, do you understand and agree that there is no guarantee that the puppy/dog purchased from us will be free of genetic defects or diseases during their life time?
YES
NO
Yes/No
Have you researched the Bernese Mountain as a breed? Are you aware that they carry a heavy coat and shed a lot of hair at times? Do you know that an adult Bernese normally weighs over 100 lbs? Have you researched the health problems that are known to this breed? Will you purchase pet insurance to help you pay for potential vet bills during your pet's lifetime?
Please elaborate your answers.
Thank you for taking time to fill out our adoption questionnaire. We will go over it and get back to you by email. If you do not hear from us please feel free to email us at: snobearberners@hotmail.com Please use the box below for any questions.
Should be Empty: