Puppy Questionnaire
CreamK9s
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number(s)
Home
Please enter a valid phone number.
Work
Please enter a valid phone number.
Cell
Please enter a valid phone number.
Name of Veterinarian
Phone Number of Veterinarian
Please enter a valid phone number.
Address of Veterinarian
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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Next
Who will be the primary caregiver?
Where will the puppy be kept during the night?
Where will the puppy be kept during the day?
Type of Dwelling
Please Select
House
Condo
Apartment
If renting, provide lanlord's details
Name of Landlord
Phone Number of Landlord
Please enter a valid phone number.
Is there anyone home during the day?
Please Select
Yes
No
How many hours on average will the puppy be left alone?
Will there be someone available to let the puppy out to relieve itself?
Please Select
Yes
No
Have you ever owned a dog? If yes, what breed?
Do you own other animals?
Colors / Markings
Do you have any children, if yes, what are their ages?
Does anyone in your household have allergies to dogs? If yes, to what and how severe?
Back
Next
Are you interested in a male or female?
What activity level do you expect this puppy to be?
Please Select
Very High
High
Moderate
Below Average
How many hours a day will the puppy be kept outside?
How will the puppy be confined outside?
Please Select
A fenced yard
A suitable Pen
Have you ever crate and house trained a puppy before?
Please Select
Yes
No
How long have you lived at your current address?
Will you be starting any training classes? If yes, at what age will you start?
Are you interested in competitions or other forms of work ( Schutzhund, Nosework, Personal protection, Rally Obedience, Agility, Herding, etc) ?
Have you ever shown any dog to a performance titles?
Please Select
Yes
No
Are you interested in showing the dog in the conformation ring?
Please Select
Yes
No
Have you ever shown any dog to its championship?
Please Select
Yes
No
Do you plan on breeding?
Please Select
Yes
No
I don't know for now
Do you understand the difference between Limited Registration and Full Registration?
Submit
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