Puppy Buyer Questionnaire
Contact Information
Name: ______
Street Address: ______
Apartment/Unit #: ______
P.O. Box: ______
City: ______State:______Zip Code: ______
Home Phone #: ______
Cell Phone #: ______
Work Phone #:______
Occupation: ______
E-mail Address: ______
How did you hear about Geronimo Kennels?
______
For whom are you adopting this dog?______
Which family member will be primarily responsible for the care and supervision of the dog? ______
Is everyone in the household in agreement about getting a Toller puppy?
______Yes ______No
Household Information
# Adults: ______
# Children: ______
Ages of any children: ______
# Pets, and what species:______
Is there anyone in the household with special needs? Describe:______
______
House Type: ______House ______Condo ______Apartment ______Other
Do you: ______Rent ______Own
If you rent do you have Landlord’s permission to have a Pet?
______Yes ______No
Do you have a yard? ______Yes ______No
Is your yard fully fenced? ______Yes ______No
Describe the type of fencing: ______
Where will the dog live?
____ In the house
____ Outside
____ Kennel
____ Dog Run
Where will your dog sleep at night?
____ In the house – loose
____ In the house - crated
____ Outside
____ Kennel
Are there dog-friendly parks or open spaces near by?
______Yes ______No
Do you live near/have access to a river or lake?
______Yes ______No
When are you hoping to get a puppy? ______
What sex of dog do you prefer?
______Male ______Female ______No preference
Would you be interested in an older dog? (Retired show dog or young adult – 6 months or older)
______Yes ______No
Who will take care of your dog when you are on vacation?
______
Previous Experience
Have you had a dog before?
______Yes ______No
Breed(s)______
What types of activities did you and your dog(s) enjoy (hunting, Frisbee, dock diving, obedience, agility etc.)?______
With previous dogs, why are they not with you? If deceased, what caused your dog(s) to pass?______
______
______
Pet Health
Do you have a veterinarian near by?
______Yes ______No
Name and address of your current Veterinarian:
______
Are you willing to vaccinate your puppy as suggested by the breeder?
______Yes ______No
Is Heartworm a danger in your area?
______Yes ______No
Will you use preventative measures for Heartworm?
______Yes ______No
Are you aware of the health issues specific to the Toller breed?
______Yes ______No
Are you interested in breeding your Toller or interested in owning a show/breed quality puppy?
______Yes ______No
It is rare we will sell a dog without a spay/neuter clause to our contract. Will you be willing to spay or neuter your new Toller before he or she is one year old, and not before he or she is six months old? ______
What do you plan on feeding your Toller? Why?______
______
If you for any reason cannot keep your dog, what would you do?______
Are you comfortable giving Geronimo kennels first right of refusal (this means, if you cannot keep your Toller you must give him back to us, unless we both agree upon an appropriate new home)?______
Choosing a Toller
How did you learn about Tollers?
______
What about Tollers attracted you to the breed?
______
Do you realize Tollers are high-energy dogs?
______Yes ______No
What energy level do you want in your Toller?
______High ______Medium ______Low
How many hours exercise do you think a Toller requires in a day?
______
How are you planning on accommodating your Tollers exercise needs?
______
What types of activities do you plan on doing with your Toller?______
______
______
Are you aware that Tollers are high drive, and will overdo it and hurt themselves if you let them, especially as puppies?______
Tollers are typically a long lived breed, are you aware and willing to make a commitment that may last 12-15 years?
______Yes ______No
Plans and Preparation
Is anyone home during the day? ______Yes ______No
If no, how long will the dog be alone?______
Do you have arrangements for a dog-walker or someone to let the puppy out for exercise during the day?
______Yes ______No
Do you plan to crate train your puppy?
______Yes ______No
Are there other pets in the house?
______Cats ______Dogs ______Other ______None
If you have other pets, do you have any concerns about adding a puppy to your home?
______Yes ______No ______Don’t know
If yes, what, briefly, are your concerns:
______
Do you plan to take basic obedience classes with your dog?
______Yes ______No ______Don’t know
Tollers can be shy if not socialized properly. Do you plan to socialize your dog
______with other people ______with other dogs ______in other environments
Activities
What are your plans for your Toller in regards to obedience training?
______plan to attend a class ______plan to do it on my own
______plan to have someone else train him ______I have no plans for training
Have you ever attended or taught dog training classes?
______Attended ______Taught ______Neither
Do you have a specific training philosophy or opinion that causes you to be very firm in the methods that you use (ie. I only train using positive reinforcement, I only use a harness, I would never use a corrective collar because correcting a dog is cruel) ______
______
______
What do you plan to do with your dog?
______Pet only
______Agility or Flyball
______Obedience Competition
______Field Competition
______Hunting Companion
______Conformation Showing
______Breeding
______Other (explain below)
______
Our Tollers excel in many facets of hunting sports, not only ‘tolling’ waterfowl, but hunting upland, blood tracking, ratting, even rabbit hunting. Do you plan on using your Toller for hunting? ____If so, What type of hunting will you be doing?______
______
Are you interested in showing or competing with this dog in the US or Canada?
______Yes ______No ______Maybe
Thank you for your interest in a puppy from us. There are no right or wrong answers to these questions, your honest answers help us decide where each puppy belongs. If we accept your application, we will contact you and accept your deposit of $500 via cash, check or pay pal. Your deposit is NON REFUNDABLE. If we do not have a dog for you, we will return your deposit. Your deposit will not be refunded for reasons including but not limited to buying another dog, or a change of mind or situation. The sale price of each puppy is $1800—a $500 deposit with the remaining $1300 due when the puppy is picked up. If the puppy will be delivered or shipped, other arrangements can be agreed upon. Again, thank you for your interest in reserving one of our quality puppies.
Kelly Lannin
Geronimo Kennels
14406 Decker Drive
Magnolia, Tx 77355
713-203-2138