Form
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
I/We live in a...
Single Family Home
Duplex/Twin
Townhouse/Condo
Trailer
Apartment
Other
Preferred Gender
Male
Female
Undecided/No Preference
Number of hours (average) pet(s) will spend alone.
I plan on having this dog for a...
Service Dog
Therapy Dog
Family Dog
Facility Dog
Agility Dog
Companion for myself
Preferred Personality
Assertive
Confident
Reserved
Unsure
Help me find the right fit
My lifestyle is best described as...
Very Active
Mildly Active
Rarely Active
Will this be your first dog?
Yes
No
What dogs (breed) have you had in the past, or do you have now?
What did you love most about your last/current dog?
What did you like least about your last/current dog?
What do you want most from your new puppy?
Do you like to train your dogs, or feel you are good at it?
What concerns/obstacles do you have in bringing home a puppy?
Do you have other pets? If yes, please describe below.
Do you have children? If yes, please describe below.
Please tell me anything else about what you are looking for and wanting from your new dog:
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