Please Complete the Following Information and Return to Me

Jubo-Lee Havanese Placement Questionnaire

Introduction:

Thank you for your interest and inquiry about our Havanese. The procedure that is followed is simple, a questionnaire is filled out, phone conversations, and then hopefully a meeting, all before the puppies go to their new homes. It is imperative that I know as much about each family requesting a puppy so that I may match that family with the best possible puppy that I may have for them. The only way to know all that information is to follow the procedure that I have outlined. All prospective buyers are encouraged to visit our home to meet our dogs, especially if they have not had the experience of meeting Havs before. Meeting both parents if possible, along with other dogs we own, is important for you the buyer. My meeting all those that will be in regular contact with the new puppy is important to me, along with getting to know any children involved gives me a feel for the family dynamics as well. It is a win win situation. The questionnaire is a microsoft word doc and can be filled out online and sent as an attachment. I will print it out and keep for reference when selecting a puppy. One of the questions that is most important is the regarding what you consider to be your "ideal" temperament, or one that you feel would best be suited to your family situation. All those families approved for purchase of a puppy then are permitted to visit the pups once they are around 6 weeks old, before the pups go home at 9 weeks or thereabouts.

All pups are microchipped at the time of their comprehensive health screening by my vet at 8 weeks of age. They go home with food, toys, a crate, leash and collar, copies of the CERF certificates from mom and dad, in other words, everything you need for the pup to start you off. You get a full sheet ofwritten instructions regarding shot/vaccination record, feeding instructions, grooming instructions, grooming supplies and where I recommend purchasing them, as well as food. All pet quality pups are required to be neutered/spayed at the appropriate age. I keep the AKC papers until I have proof that it has been done. You do get a copy of the AKC papers along with the other paperwork regarding your new puppy. You are also instructed as to the filling out of the microchip information in order to register the chip with AKC Companion Animal Recover System. I use the Home Again chip, the most popular in the USA. If you are not familiar with the use of the microchip, it is used to permanently identify animals in case of loss. All humane societies and rescue groups now have readers in which to scan any animal coming in to their facility that they may contact the owners as soon as possible if the animal is a stray.

I hope I have answered any questions you may have about our procedure and placement policy. If you have any further questions, please do not hesitate to ask.

Note: Upon approval of this document for placement by Jubolee Bearded Collies & Havanese, a $200 deposit which is non-refundable will be accepted to reserve a puppy from a litter. *Deposit is transferable to another litter.

______

Please complete the following information and return to me via email to . All information provided will be kept confidential.

Your name:

Your street address:

Your city, state and zip:

Your email address:

Phone number:

What made your decision to want a Havanese as a member of your family? Please explain:

Are you looking for a:

__ puppy

__ young adult

__ adult

__ doesn't matter

When are you planning on adding a Havanese to your family:

__ as soon as possible

__ within the next 3 months

__ within the next 6 months

__ whenever one becomes available

You are looking for a puppy of what sex?

__ female

__ male

__ female, would consider male

__ male, would consider female

__ no preference

Are you looking for a specific color?

__ yes (if so, what color? ______)

__ no

__ prefer ______but willing to consider others.)

Pertaining to the height* when matured, would you prefer a dog that is:

__ on the smaller side of the standard

__ average of standard

__ on the larger side of the standard

*Reference AKC Havanese Standard

*DISCLAIMER*

*There is no guarantee of size that a puppy will mature to, Jubo-Lee Havanese makes no guarantee of size for any puppy when placed, nor when matured.

For what purpose are you interested in a Havanese? (check all that apply)

__ family pet

__ obedience

__ conformation shows

__ agility

__ breeding

Any puppy sold as a pet may be sold with AKC limited registration and

spay/neuter agreement. Do you have a problem with this?

__ yes

__ no

Note: Any puppy sold as show potential will be sold with coownership

agreement.

Have you spoken with any other Havanese breeders?

__ Yes

__ No

Are you aware of the few physical problems currently found in the Havanese?

__ Yes

__ No

Are you aware of the amount of coat care/grooming that is necessary to keep a Havanese clean and tidy?

___Yes

___No

Have you and your family ever met and played with a Havanese?

__ Yes

__ No

Do you have children under the age of 5?

__ Yes

__ No

If you answered no to the previous question and do have children, please list their ages and describe them briefly.

How many people in your family that will have regular contact with a new puppy?

__1

__2

__3

__4 or more, please explain

Do you live in:

__ apartment

__ house

__ townhouse

__ other (please specify ______)

Do you rent or own your residence?

__ Rent

__ Own

Do you have a fenced yard secure enough to hold a toy dog?

__ Yes

__ No

If not, how will you provide security for your puppy when it is outside or

when you are not at home?:

Is there someone home during the day, or is anybody able to get home to

potty a puppy?

__ Yes

__ No

If both "parents" will be at work during the day, please explain your situation and projected amount of time puppy will spend alone each day.

Where will this puppy spend the day?

__ Outside, in the yard

__ In the house, confined to a puppyproof area

__ In the house, loose

__ In its crate

__Other (Please specify)______

Will the puppy have regular contact with the family during the evening?

__ Yes

__ No

Where will the puppy sleep?

__ In its crate, in the bedroom

__ In its crate, in (fill in room) ______

__ In bed with us

__ In the garage

__ Outside

__ Other (Please specify) ______

Are you willing to attend group training classes with this dog?

__ Yes

__ No

What breed(s) of dog do you have or have you owned? If you haven't

owned a dog before, please so state. How many dogs and cats do you

presently have?

If any of the dogs previously owned are deceased, what were the

circumstances ?

Who will have the primary responsibility for the care of this puppy?

Have you ever dealt with housebreaking a young puppy?

Please give the name, address and phone number of your vet (or one that

has worked with you in the past) If you do not currently have a vet for reference, please give the name and number of a personal reference:

Have you ever given a dog up to a shelter or pound? If so, why?

What kind of diet (brand name) do you think you will feed your puppy?

What do you expect from a puppy? For example, would you prefer a very active, outgoing dog or a quieter, more laid back pup? Please take a little time to tell me what your ideal dog would be like:

How did you find out about us and our dogs?

__ AKC Breeder referral

__ HCA Breeder referral

__ Personal referral

__ Breeders.net

__ Other (Please list below)

______

I apologize for the length and detailed nature of this questionnaire, but I do

my best to improve this breed and that includes finding the optimal family

conditions for my puppies. I believe strongly in prevention rather than repair.

The best way for me to make a successful placement for one of my pups is to

match it, with its individual temperament, to a family whose personalities and

lifestyle will suit it and appreciate its unique qualities.

Please feel free to add any comments and/or questions here.

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