Puppy Questionaire

Puppy Questionaire

For Lil'Town Wheatens
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
How many people are in your household?*
What is the age range of your children? (Ex. 6-13)*
Do you have a fenced in yard?*

YesNo
Else, do you have a fenced in dog run?*

YesNo
What made you decide to get a Wheaten Terrier?*
How / Where would your dog spend the day as a puppy?*
How / Where would your dog spend the day as a adult?*
For what periods of time would the dog be left alone?*
Are you able to spend more time with a puppy when it first gets home? Explain:*
Ho do you plan to manage the routine care and grooming of your puppy?*
A Wheaten is a high maintenance dog. Do you have the time to brush and comb your Wheaten daily?*

YesNo
Do you own a dog or any pets at the present time? If so, what are the breed, sex and ages of your pets?*
Have you owned a dog in the past?*

YesNo
Would you be willing to enroll your Wheaten in a dog obedience class?*

YesNo
Do you want a male, or female? Why?*
Do you want a companion, or show dog, or breeding prospect? Why?*
Are you interested in an older dog?*

YesNo
Are you willing to spay or neutered you dog if placed with you as a companion dog?*

YesNo
Please fill in below for any other questions or comments. Thank You.
I appreciate you showing interest in Soft Coated Wheaten Terriers and to take the time to complete this form. I will get back to you as soon as possible.

Thank you,

Carol Shaltz

Lil'Town Wheatens of Ardnacassa
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