Puppy Buyer Questionnaire
Help us learn more about you and your household
Personal Information
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please confirm you are aware that our puppies range in pricing from $1,500.00 - $6,000.00
Yes
Please confirm you are aware that we do not sell puppies for breeding or showing.
Yes
Are you looking for Pet Only, Limited Registration or Full Breeding rights on registration?
PET Only (No papers will be provided)
Limited Registration (Registration provided - no breeding rights)
Full Rights Registration (Breeding Rights)
Have you ever owned a dog or been raised with dogs?
Yes
No
What breed(s) and how many years?
What gender, coat and color are you looking for?
Is there a specific puppy you are interested in? If so, please list their name.
Do you presently have pets in your home?
Yes
No
What breed(s) and how many years?
Have you ever surrendered a pet? If yes, why?
Family & Home Information
How many adults are living in the home?
Do you have children/grandchildren in the home?
Yes
No
Provide detailed information about your children/grandchildren's ages and some more specific information.
Does any family member have allergies to animals?
Yes
No
Is everyone in the household in agreement to adding a new pet to the family at this time?
Yes
No
What is your home type? If you are renting, you will need to provide documentation that shows you have permission to have pets.
Detached
Semi-detached
Townhouse
Apartment/Condo
Do you have direct access to a securely fenced yard from your home?
Yes
No
Care of Your Dog
Will the puppy be crated?
Yes
No
How much are you willing to spend for emergency veterinary care for your puppy?
How long will your puppy be left alone during a typical day? (Please be specific about hours of work/commute times, schedule, etc)
How did you hear about us?
Any additional comments
Signature
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