Goldpaw Reg'd Golden Retriever Puppy Questionnaire

Goldpaw Reg'd Golden Retrievers
Breeding for Health, Beauty & Soudness
Part I: General Information
First and Last Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
1. Have you ever had a dog before? If yes why is the dog no longer with you? If the dog was a golden retriever who did you obtain it from?*
2. Have you done research on the golden retriever breed? If yes what kind?
3. Why have you choosen the golden retriever breed?
4.How many members does your family have and what are their approximate ages?
5. Does everyone in the family want a puppy?

YesNoNot sure
6.Do you have a fenced yard or dog run? If not how do you plan to keep your puppy from roaming?*
7. Do you own your own home, rent or live with others? Please describe your living arangements.
8. Does your daily sheduale permit for daily excersise? Can you describe your lifestyle?
9. Is there anyone home during the day?

YesNoHalf days
10. Does anyone in your family have allergies? If yes please describe.
11. Are you familiar with crate training? and do you intend on using one?
12. Are you willing to sign a non-breeding agreement?

YesNo
13. Why do you want a golden retriever?
14. Do you have any other pets living in the home? If so what type of pet?
15. Do you forsee any changes in your life in the near future?
16. Are you interested in a female or male puppy? If your choice isn't available are you willing to take a puppy of the opposite sex?*

Femalemalefemale or male
17. If for some reason you are no longer able to keep the dog are you willing to return to the breeder?
18. Please give names, phone# and email address of 2 references. These references can be vet, family memeber of aquantances.
Thank you for taking the time to answer our questionnaire. Every puppy is very important to us and knowing that they will be in a loving home makes us feel much better!!
Tammy
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Goldpaw Reg'd Golden Retrievers

Breeding for Health, Beauty & Soudness

Part I: General Information