Equiss Whippets Puppy Questionnaire

Names: ______

Address: ______

How long at this address: ______Own/Rent______

Phone: (H)______(W)______(C)______

Email: (1)______(2)______

Occupation:______How long at your present employer______

Employer’s Name:______

Address:______

Referred by:______

Children? Y or N If yes, how many and ages______

If no, do you plan to have children and if so, when and would you have to get rid of your

pet______

Other Pets?______

Do you or anyone in your family have allergies? Y or N If yes, please explain the

nature of those allergies and their severity______

Puppy Owner Info

What would occur if you were to separate or divorce your spouse or significant

other?______

Please give a short description of what attracted you to the Whippet breed and

tell us about any research you have done and people/breeders that you have corresponded

with______

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Please describe the layout of your house /apartment./condo?______

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Where will dog stay, while you are away or working?______

What about while you are sleeping?______

Please describe your yard______

______Fenced Y or N______

You do know and understand that a Whippet is a sighthound and must remain

on a leash at all times or in a secure fenced area? Y or N.

Interested in: Puppy:______Young Adult______Older Dog______

You understand that if you relocate or change any contact info, that you will contact

us to keep them updated? Y or N. We would appreciate

knowing within 60-90 days of any address change.

You understand, if any reason arises, that you cannot keep this dog, you will contact

Us first, so that we can make arrangements to get dog back? Y or N

If you start to have any problems or training issues with the puppy, you will contact

Us at the first sign, so that we can help you work through the problem and keep

this puppy / dog a wonderful member of your family for his/her life? Y or N

Please describe below your plans for the puppy / dog, once he/she comes to live with you

and steps for training and time you intend to invest to allow him to become the very best

member of your family possible ______

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