LongIsland Perm. Reg'd

Owners Puppy List Questionnaire


Thank you for your interest in my dogs. The health, happiness and well-being of each of my puppies is very important to me. To help me ensure that my puppies are being placed in loving, knowledgeable, capable and permanent homes, I ask for your co-operation in providing the following information..
Contact Information
Date:
e-mail: (Required)
Name:
Address:
City:
Prov/State:
Postal/Zip:
Home Tel:
Work Tel:
Fax Tel:
Your Interests and History with Dogs
1] How did you find out about me?
2] Are you interested in a:
Male Female No Preference
3] Do you have colour preference? No Yes
Specify colour:
4] Why are you interested in obtaining a Dachshund?
Companion Show Breeding
Reasons:
5] What qualities do you like in the Dachshund breed?
6] What don't you want to find in a Dachshund?
7] How did you become interested in Dachshunds?
8] Will this be your first Dachshund?
Yes No
9] What other dogs have you owned, and are currantly in your home?
10] Will you or someone in your house hold be home with the puppy during the day?
11] Have you ever had to euthanize a dog (put to sleep)?
Yes No
If yes, why?
12] Are you willing to spay/neuter this dog?
Yes No
If not, why?
Family and Home Information
1] Your Age: <18 18-30 30-45 45+
2] Status: Family Single
3] Children? yes No List Ages:
4] Occupation of adult(s) in family:
5] Primary care giver for this dog:
6] Where will the dog stay?
Day: Night:
7] Please give details of canine accomodations. Fenced yard etc:
8] Is your neighbourhood:
Urban? Suburban? Rural?
9] Do you live in a:
House? Apartment?
10] Which books, if any, have you read on dog care/training?
11] Would you be interested in a 'rescue' or adult dog?
Yes No
Please use the following space to add any other information you wish me to consider in placing one of my Miniature Dachshunds with you. It would be appreciated if you would give me a little insight into the expectations you may have for this new addition to your family. Thank you again, your interest is appreciated.

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