Puppy Questionnaire
Your name:
Email:
Address
City, st zip
Phone #
Are you wanting a male or female:
Do you have a color preference?
Please tell us what your lifestyle is like:
Who is this puppy for?
Do you have a fenced yard? If not will you be
home during the day to take the dog for
walks?
Do you have other pets if so what type:
Can you provide vet references and personal
references? Please enter the information
below NOTE: These references will be
contacted.
(if I choose to sell a puppy to you)
How many children and other adults are in
the home, ages of children:
Are you aware our puppies are sold on
spay/neuter agreements and limited
registration? Do you agree this dog will not
be used for breeding purposes?
Please feel free to express concerns now
Are you aware that Cockers grow very full
coats and will need to be groomed every 5-7
weeks? Have you ever owned a Cocker
before?
Please feel free to express concerns now
If at any time you cannot keep this dog, the
dog is to be returned to us.
Will you agree to this?
Feel free to express concerns now
Do you plan on taking your puppy to
obedience classes or any other type
performance type classes?