H2O Questionnaire

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Area Code
Phone Number
4
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Tell us a little about you.* This field is required.
Number of people residing with you?
Oldest (age)?
Youngest Age?
6
Are dog allergies a concern for anyone in your family? If yes, do you know what they are allergic to (dander, hair, saliva).* This field is required.
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7
Who will be the primary caretaker of the new puppy?* This field is required.
8
Do you currently have other animals in the household?** This field is required.
Yes
No
9
Please tell us a little about the other animals that live in your household.* This field is required.Species / Sex / Age / Spayed/Neutered / Breed - If none put N/A
10
Who in your household is the most enthusiastic about getting a puppy? Why?* This field is required.
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11
Who in your household is the least enthusiastic about getting a puppy? What are their concerns?* This field is required.
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12
Tell us about your home.* This field is required.
Please Select
Please Select
Single Family Home
Duplex
Townhome
Apartment
Condo
Other
We live in:
Please Select
Please Select
Owned by me and/or spouse
Owned by roommate
Owned by family member
Rented
The home is:
Please Select
Please Select
None
Yes, we have a condo association
Yes, we have HOA
N/A
Condo board/association or HOA:
Please Select
Please Select
Yes
No
Will Check
N/A
Have you verified any weight/size restrictions for your rental?
Please Select
Please Select
No outdoor space
Outdoor common space
Patio / courtyard
Small yard
Medium Yard
Large yard
Acreage
Acreage (5 acres+)
Other
Our outdoor space is:
Please Select
Please Select
No fence
Metal fence under 5 feet
Wood fence under 5 feet
Metal fence over 5 feet
Wood fence over 5 feet
Invisible fence
Other
Is your outdoor space fenced?
13
How did you hear about us?* This field is required.Please let us know how you found us, if it was a referral please let us know who referred you.
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14
Will this puppy be your first Portuguese Water Dog?* This field is required.
Yes
No, we have PWDs listed above
No, we have had one in the past
15
Why a Portuguese Water Dog?* This field is required.Why do you want a Portuguese Water Dog? Why is this breed right for you?
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16
When would you like to add a puppy to your life? * This field is required.
Ready now!
3-6 months
6-12 months
More than 12 months
Exploring if a PWD is right for me
Please indicate time frame
17
Puppy's Gender* This field is required.
Please Select
Please Select
Don't care about gender, I want a suitable puppy for my family
I prefer a male, but would consider a female
I prefer a female, but would consider a male
I only want a male
I only want a female
If you have a preference, why?
18
Will this be the first dog you will solely be responsible for raising? (i.e. not a dog from your childhood home)* This field is required.
Yes
No
19
What activities do you expect to do (or have interest in) with your NEW puppy?* This field is required.
Puppy Kindergarten / Obedience
Water Work / Trialing
Obediance (advanced)
Pet-assisted Therapy
Agility
Search & Rescue
Rally
Breeding
Conformation (CKC/AKC)
Dock Diving
Barn Hunt
Service Dog (ESA / ASD/ Alert)
Tracking
Lure Coursing
Nose Scent Work
Other
20
Experience* This field is required.If you plan to show, what experience do you have with CONFORMATION / PERFORMANCE activities? What levels have you trained/competed at? If you are not interested in any type of showing, please N/A.
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21
Desired Puppy Traits* This field is required.How would you describe the personality or specific traits you are looking for in your new dog? (Please be specific about energy levels, drive, confidence, water work, eye contact, intelligence, learning style, professional cuddler, appearance and anything else that is important to you in a dog.)
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22
On a typical weekday, in the first 6 months, how many hours will your puppy be left alone? Please describe.* This field is required.
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23
Where will your puppy/dog spend his nights? (e.g. crated in bedroom, kitchen, outdoor kennel, etc...)* This field is required.
24
Daily Life - Week Day* This field is required.What do you anticipate a typical WEEKDAY will consist of with your dog? (i.e. who will be with them, how often will you walk, play, etc.)
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25
Daily Life - Week End* This field is required.What do you anticipate a typical WEEKEND will consist of with your dog? (i.e. who will be with them, how often will you walk, play, etc.)
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26
In what ways do you think having this dog will change your lifestyle?* This field is required.
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27
Do you allow your current dogs or intend to allow future dogs to run off-leash? If yes, under what circumstances? If not, why not?* This field is required.
28
Do you have a person or facility that you will use for puppy classes? (If not we are happy to help you find a reputable one)* This field is required.
29
I understand that H2O Portuguese Water Dogs will use the information gathered to match the best puppy to my family.* This field is required.
Yes
No
30
I understand that I must wait until at least 24 months of age to spay or neuter.* This field is required.Studies have shown that early spaying/neutering of puppies contributes skeletal and hormonal growth issues that can effect the long term health of dogs.
Yes
No
31
I understand that I will be required to complete OFA (Orthopedic Foundation for Animals) hip and elbow X-rays when the puppy is between 24-28 months of age.* This field is required.H2O dogs have a history of healthy hips and elbows - one of the ways we accomplish this is by x-raying all of our breeding dogs AND our family pets. The cost of these x-rays is approximately $250-$300.
Yes
No
32
I understand that I will be required to sign a legal contract prior to taking the puppy home that legally binds both H2O PWDS & the Buyer to all of our agreements.* This field is required.All agreements will be discussed after homes are approved.
Yes
No
33
I understand that PWD puppies require regular training and I am committed to taking classes with my puppy and doing daily practice for the first year so that he will be a wonderful family member.* This field is required.
Yes
No
34
Has Covid-19 changed your daily routine? (i.e. work from home; less children’s activities; travel less). If so, how will you accommodate for your puppy when you get back to your previous routine? * This field is required.
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Additional Questions or Comments* This field is required.Please feel free to add any additional questions or comments that you may have.
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