Client Questionnaire

Please note: Submitting this questionnaire in no way commits you to purchasing a puppy,
and in no way commits us to selling you a puppy.

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1. Please list your name, address, city, state, zip and phone number 2. Please list your email address 3. How many people live in your household? Please list ages of children. Is anyone in your household allergic to dogs? 4. Please describe your neighborhood and housing situation. Do you have a fence? How high? 5. Do you know of any life changing plans you will have within the next few years? (i.e., moving, changing job, getting married/divorced, having children) 6. Please list other pets, past and present, including what breed (if dog(s)) and how long they have been/were with you. 7. Are you interested in a: Male? Female? Either? Not sure? What kind of personality are you looking for in your puppy? 8. How many hours will your puppy be home alone? What plans to you have for your dog when you are not home? 9. What plans to you have for your puppy? (i.e., kept indoors, kept outdoors, obedience, agility, conformation, breeding, other) 10. Please list any additional information you would like to share, or any questions you have for us. Please note: Submitting this questionnaire in no way commits you to purchasing a puppy, and in no way commits us to selling you a puppy.