Keswick Labradors Puppy Questionnaire

Puppy Application

Keswick Labradors
This questionnaire is designed to help me determine if a specific dog is the right one for you and your household. All potential homes are required to complete this form prior to any in-person visits. I reserve the right to deny anyone based on answers to this questionnaire and/or visits prior to rehoming.
Applicant Information
Your full name:*
Your age:*
Street Address:*
City, State, Postal Code*
Home Phone:

Area CodePhone Number
Work Phone:

Area CodePhone Number
Cell Phone:

Area CodePhone Number
E-mail:
How did you hear about us:
Household Information
Are all members of your household in agreement with a new puppy/dog?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If rent, provide name and phone number of landlord:
Does your landlord allow dogs?

YesNo
Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone
Do you have a fully fenced yard?*

YesNo
Height and type of fence
Do you have any of the following?

Underground fenceKennelDog Run
How many adults are in your household?*
How many children are in your household?*
If children, what are their ages?
Have your children been around animals before?

YesNo
Does anyone in your home have allergies to dogs or have asthma?*

YesNo
Current/Previous Pet Information
List any pets you own or have owned in the past five years, and their ages.*
How many of these pets are spayed/neutered?*
Where are these animals now?*
Have you purchased a purebred dog before?*

YesNo
If yes, what breeder?
Have you ever given up a pet?*

YesNo
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:
New Pet Information
Are you purchasing this puppy as a gift or for yourself? If as a gift, please explain:*
Where would the puppy/dog primarily live (inside/outside)?*
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*
Are you aware of crate training?*

YesNo
Have you ever house-broken a dog or puppy before?*

YesNo
How many hours each day will your new pet be home alone?*
Where will your new pet sleep at night?*
How will you supervise the dog's outdoor activity?*
Where will your new dog stay when nobody is home?*
Have you ever owned a Lab before? If so, tell us about your experience.*
If not, why have you decided a Labrador is the right dog for you?
Are you willing to work through your new pet's issues, if any?*

YesNo
Are you aware that Labs can have certain health risks (such as hip/elbow dysplasia, eye disorders, etc)?*
Are you aware that Labs can be diggers and chewers, especially if left alone for long periods of time?*

YesNo
Are you aware Labs shed?*
What gender do you prefer?*

MaleFemaleDoesn't matter
What colour are you interested in?*

BlackYellowChocolateDoesn't matter
Do you understand that a Lab can be an 10-15 year commitment, and can sometimes incur high vet bills?*

YesNo
Do you plan to take an obedience class with your dog?*

YesNoNot sure
If yes, where?
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?*

YesNo
What circumstances would lead you to give up your new dog?*
Do you plan to spay/neuter your puppy? Are you aware we sell puppies with a spay/neuter contract?*
Are you interested in any of the following activities?*

AgilityHuntConformationSearch & RescueObedience/RallyTherapy WorkOther
Anything else you'd like to mention?
Should be Empty:

Puppy Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information