Puppy Questionnaire

Name

First NameLast Name

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Do you own your home or rent?

OwnRent

Do you have a fully fenced yard?

YesNoPartially fenced

What type of home do you currently live in?

What made you want to purchase a Cavalier King Charles Spaniel?

What makes you think that a Cavalier King Charles Spaniel is the perfect breed for you?

What qualities would you NOT want in a Cavalier King Charles Spaniel?

Are you aware of the health issues in the breed? Please list the issues you are aware of.

While my prImary goal is putting health first, this breed is known for several expensive health issues and i STRONGLY suggest keeping an active Pet insurance policy. Do you plan to have pet insurance?

YesNo. I have savings to cover expensive vet bills should the need arise.

How many hours a day will your dog be left alone? (Without humans)

Where will your puppy stay during the day?

Do you intend to crate train?

Do you have a gender preference?

MaleFemaleNo Preference

Do you have a color preference? (Choose any that apply)

BlenheimTricolorBlack & TanRuby

Do you have an age preference?

Baby Puppy (10 weeks-4 months)Older Puppy (5 months-1 year)Young Adult (1 -3 years)Retired Adult (3+ years)

WOuld you be interested in co-owning a show/breeding potential puppy?

YesNoI would like a bit info on what this involves

Do you understand that a puppy will be chosen for you? The decision will be based on a variety of factors including formal temperament testing, and not based solely on color preference or markings.

That sounds great!I’d really rather choose my own puppy

Are you planning to take your puppy to training and socialization classes?

YesNo

What sort of energy level would be a good fit with your lifestyle?

High - An active busy dog that needs plenty of exercise and thrives in an energetic environment. A dog that would excel with additional training (beyond the puppy basics) and dog sports like agility.Moderate - A dog that loves to go for walks and hikes but has a good “off switch” when it comes time to relax around the house.Low - A dog that prefers a quiet house, and would rather cuddle on the couch than go out for a really long walk.

Are you interested in doing any sort of dog sports? (eg. Conformation, Obedience, Rally, Agility, Scent work etc). If yes, please specify which ones.

As a breeder, it’s important for me to keep track of all of the dogs I have bred. Are you willing to stay in contact with me regarding the health and well-being of your dog for it’s entire lifetime?

YesNo

What do you plan to feed your puppy?

How many people are in your family? Please include children’s ages if applicable.

Do you have any other pets? How many? What kind? Ages?

Does anyone in your household have allergies to dogs?

YesNo

Is everyone in your family excited to add a dog? Does everyone accept the physical and financial responsibilities that come along with having a dog in the family?

Have you ever re-homed a dog for ANY reason. If so, please explain the circumstances.

Do you have a veterinarian? (For current or past pets). Please provide the practice name and phone number.

Do you understand that completion of this survey does not guarantee you a puppy? All applicants will be screened by Castleglen Cavaliers and families will be chosen based on the most suitable applicants.

Yes, I understandNo, I don’t understand

All of our companion pet puppies are sold on CKC Limited Registration and will have spay/neuter contracts. A dog with limited registration may still compete in all CKC events with the exception of Conformation.

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