All information in this questionnaire will be kept in strict confidence by me and not used by anyone else.
1. How did you hear about us?
2. Your name:
3. Your address:
4. Your Phone Numbers: Work:Cell:
5. Email Address:
6. Occupation:
7. What days and hours do you work:
8. Spouse's Name:
9. Spouse's Occupation:
10. Do you have children and if so, please list their names and ages:
11. Why do you want a Golden Retriever?
Please select the one(s) that apply:
12. Do you prefer a male or female? Please explain why:
13. If your first choice is not available, would you be willing to take one of the opposite sex, one of a different colour, one from another litter, or would you prefer none of the above?
14. What are you looking for in a puppy/dog?
15. Is everyone in the family ready for a dog?
16. Does anyone in the family have allergies to dogs? If so, who?
17. What type of housing do you live in? Apartment, condominium, house, etc.?
18. Do you own or rent?
19. If you rent, does your landlord allow dogs?
20. Please list his name and phone number:
21. Is there a Home Owner's Association where you live, and if so, do they permit dogs? What is the limit?
22. Name of the Association:
23. Do you have a fenced in yard? If so, how big an area does it encompass, what kind of fencing does it have and how tall is it?
24. Do you own a pool? If so, is it completely fenced off?
25. Do you have other pets, and if so, please tell me what they are, their genders, and their ages:
26. Are there any major changes that may occur in your life in the near future such as moving, a divorce, relationship break up, new job, going to school or other such thing? If so, please explain:
27. Do you agree to provide the proper care and love to this dog for the duration of it's LIFE despite what changes may occur?
28. Have you ever owned a golden retriever before?
29. Do you know the pros and cons of this breed?
30. Who will be home with your new dog during the day? And at night?
31. How long will your dog be left alone during the day?
32. If your new puppy/dog will be by itself for long periods of time, would you agree to have someone come take care of it?
33. Are you willing to crate train your new puppy?
34. Who will groom the puppy/dog and how often? l
35. Do you agree to feed this dog a top premium food for it's optimal health?
36. Will you provide this dog with the best medical care when needed?
