Meirzah Golden Retrievers - Puppy Questionnaire

Meirzah Golden Retrievers

Puppy Questionnaire - Begin the process
Thank you for your interest in one of our Meirzah Golden Retriever puppies!

If you have any issues with this form, please try the following link. Link to: Puppy Questionnaire

The completion of this application will begin the puppy purchase process, but the completion of this application should not be considered a commitment to purchase by either party. There are no right or wrong answers, so please answer both thoroughly and honestly.
Will there be a co-owner on your puppy's registration? This would commonly be a spouse or significant other.*

YESNONOT SURE
Owner Name*

First NameLast Name
Co-owner Name

First NameLast Name
Owner Phone Number*
Please enter a valid phone number.
Co-owner Phone Number
Please enter a valid phone number.
Owner Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Co-owner Address (If same leave blank)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner P.O. Box (If used for mail)
Co-owner P.O. Box (If used for mail)
Owner Email Address*
example@example.com
Co-owner Email Address
example@example.com
Owner Occupation*
Co-owner Occupation
Owner Occupation Location*
Co-owner Occupation Location
Why have you decided to purchase a Golden Retriever?*
Do you have a gender preference?*

FemaleMaleNo Preference
Why do you prefer a female?*
Why do you prefer a male?*
Are you looking for a puppy, older puppy, or retired adult?*
How soon would you like to get a new puppy? Is there a specific litter or pairing that you are interested in?*
If your first choice is not available, would you be willing to take another gender? Another puppy from a different litter?*
For what purpose(s) are you seeking a Golden Retriever? Check any that apply to you.*

Family CompanionObedienceAgilityShow ProspectBreeding ProspectField or HuntJogging or Hiking CompanionScentwork/Nosework/BarnhuntPet TherapyService DogSearch and Rescue4H or FFA ProjectJunior HandlingOther
Tell me a little bit about you and your family; careers, ages of children, hobbies, interests, etc. What would be a typical day for your family?*
Do all family members want a new dog? If no, please explain.*
Do any family members have allergies to dogs? If so, please explain!*
Which member(s) of your family will have primary responsibility for care and feeding of your new Golden?*
Do all adults in the household work full-time outside the home? How many hours per day will the puppy be left alone? Where would the puppy stay when nobody is at home?*
Where will your dog live? Where will your dog sleep at night?*
Do you rent or own your place of residence?*

OwnRentLive with familyOther
If you rent or live with family, do you have the property owner's permission to get a Golden?
Do you live in a single family home, apartment, or townhouse/condo?

Single Family HomeApartmentTownhouse or CondoOther
Do you have a private yard?*

YesNoOther
Please describe your yard. Is your yard securely and completely fenced? If so, how tall is the fence? What type of fence is it? How big of an area does it encompass?*
If you do not have a private yard or a fenced yard, what facility/plans do you have to exercise you Golden?*
Are you prepared to take your puppy to puppy kindergarten or basic obedience classes, to ensure that he/she will be an enjoyable companion and canine good citizen? If not, please explain why.*
Who will train this dog?*
Have you found an obedience class or trainer yet?*
Have you ever completed an AKC title? If so, in what sports?*

NONEObedienceField or HuntConformationAgilityOther
Do you plan to spay or neuter your Golden? If so, please explain your timeline in which you would like to do so.*
Do you own other pets? If so, please share with me what they are, their genders, and ages. If you currently have another dog, are they spayed/neutered? Or intact?*
Do you currently have a veterinarian? If yes, please provide their name. If no, do you know who you will select as your Vet or do you need a referral?*
Have you ever bred a dog before or had an accidental litter? If so, please explain.*
Have you ever had to get rid of a dog or turn one over to the animal shelter or a rescue? If so, please explain.*
Have you ever had to euthanize a dog? If so, please explain.*
If this is for a potential show and/or breeding prospect, please provide references (ie. breeders, trainers, etc.) Also, will you be showing the dog yourself or hiring a professional handler to show for you?*
If you desire a show and/or breeding prospect, I may or may not ask to be a co-owner on the registration. Would you be fine if I did?*
Any other comments or questions?
How did you hear about us?
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