Breezyknoll Reg Golden Retrievers
Puppy Adoption Questionnaire
In order to ensure our puppies will be going to suitable new homes and you as the family or prospective new owner will be getting a puppy that you will be completely satisfied with, we kindly ask that you reply to the following questions. These questions are not meant to be judgmental in any way, but are to help us in placing the right pup for your needs and for the sole purpose of the health and happiness of our puppies. Please remember there are no right or wrong answers as each situation is unique and different. We spend a lot of time and effort into raising our puppies to be well socialized and healthy and our concerns are that they are going to the most suitable and best home possible. As breeders we take responsibility for bringing these puppies into this world and therefore follow their progress as well throughout their lives. All information provided will be kept confidential. Please feel free to add additional comments as well.
1. Name, address, phone number, e-mail address;
2. Why have you chosen the Golden Retriever and what has made your decision to purchase at this time;
3. Do you currently own or have you owned a dog(s) before? Yes No
4. What Breed(s)?______How Long? ______
How many dogs are in your home now? ______Are they spayed/neutered? ______
Where did you obtain them from? Please specify (e.g. Breeder, Pet Store, etc.) ______
5. Puppy Preference: Male Female - Will accept opposite sex if first choice is not available: Yes No
Time Frame: In what time frame are you hoping to obtain a puppy in? ______
6. Colour: Light Medium Dark No Preference
7. For what purpose are you buying this puppy? (Check all that are applicable)
Pet/Companion Hunting Obedience Field Trial Agility Confirmation
8. Are you willing to Spay or Neuter this puppy/dog if being purchased as a pet? Yes No If no, please explain why;
9. Does every member in your family wish to obtain a new puppy? Yes No
10. Briefly describe your family and your lifestyle (your occupation(s), interests and activities, family members etc.);
11. Do you have any children? Yes No Planning
Children=s Name(s) and Age(s) ______
12. What other pets or livestock do you have?
13. Do you live in a house, apartment, townhouse, farm, etc.?
14. Do you own or rent?
15. If you rent, is your landlord aware that you are getting a dog and may I contact them? Please provide your landlord's name, address and phone number.
16. Where will you be housing your Golden puppy? (e.g. home, garage, dog house, outdoor kennel, other etc.)
17. Do you have a securely fenced in yard? Yes No
If not, are you willing to erect a secure area to prevent your puppy from running off or being stolen? Yes No
18. Do you have a swimming pool? Yes No Is it fenced separately from the yard? Yes No
19. Where will your puppy sleep at night?
20. Where will your puppy be kept during the day and who will look after it?
21. How will you go about housebreaking your new puppy?
22. Are you opposed to crate training your new puppy? If yes, please explain why?
23. Have you ever taken obedience classes? Yes No
Are you willing to attend puppy socializing/obedience school with this dog so that it will become an enjoyable companion and good canine citizen? Yes No If no, please explain reasons why?
24. Do you have a Veterinarian? If yes, may we contact them? (Please supply name, clinic name and location, and number)
25. Are you willing to feed the best quality food recommended by the breeder or vet? Yes No
26. Are you willing to return the dog to me the breeder should some unforseen circumstance arise and you would no longer be able to keep the dog? Yes No
27. Are you committed and financially able to care for a dogs needs for the next ten to fifteen years? Yes No
28. Will you allow the breeder to visit youwith sufficient noticegiven ahead of time? Are you willing to keep the breeder informed as to the dog=s progress from time to time?
29. How did you learn about Breezyknoll Goldens?
Past experience Breed Club Advertisement Dog Annual Magazine
Another Breeder (please specify) ______
Reference by (please specify) ______
Other (please specify) ______
27. Please feel free to add any additional comments you feel maybe of interest to us;
Thank you for your co-operation and for taking the time to fill out our questionaire in order to help us get to know you and your family better. We look forward to assisting you with your search to help you find the next member of your family and the puppy of your dreams.