Em’s Goldens puppy questions
Name:___________________________________________________________
Spouses name:____________________________________________________
Phone number: (_______)_______-___________ TEXT? YES NO
Email:_____________________________________________________________
Full address:_______________________________________ City:______________________ State:__________ Zip code:____________________
1. Do you live in a house, apartment, condo, etc? _____________________________________________________________________
2. Do you live in town, city, country act? _____________________________________________________________________
3. Do you own or rent? _____________________________________________________________________
4. How long have you lived there? _____________________________________________________________________
5. Do you have any plans to move? YES NO
6. Are there steps to get into the home? YES NO If yes how many? _____________________________________________________________________
7. Are there steps in your home? YES NO If yes how many? _____________________________________________________________________
8. Do you have a fenced yard? YES NO If yes what kind and how tall is your fence?_____________________________________________________________________________________________________________________________________
9. How big is your yard?_________________________________________________
10. How big is the fenced yard? _________________________________________
11. How many people live in your home? __________________________________
What are their ages (this question must be answered for all members of your home)? ____________________________________________
12. Who will be the puppies primary care giver? _____________________________________________________________________
13. Does anyone in your home have allergies to any pets? YES NO
14. Do you have any other pats in the home? YES NO
If yes please list Kind/breed and age and if they are spayed/neutered. ________________________________ ________________________________________________________________________________________________________
15. Do you have access to a swimming area for this puppy/dog? YES NO
If yes what does that look like and how often will he/she get to swim? ______________________________________________________________________________________________________
16. Do you plan to visit dog parks? YES NO
17. Do you plan to take this puppy/dog on vacation with you? YES NO
If your Golden can not accompany you who will watch your puppy/dog? __________________________________________
18. How many hrs will this puppy/dog be home alone? ________________________
19. What will a average day look like for this puppy/dog in your home?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
20. What will the average weekend look like for this puppy/dog?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
21. Have you ever owned a dog? YES NO
If yes what kind? _________________________________________________
Where did you get them from?______________________________________
How long did you own them? _______________________________________
22. Have you ever re-homed a dog? YES NO
If yes please explain.____________________________________________
________________________________________________________________
_________________________________________________________
23. Do you understand that golden retrievers are considered puppies (with puppy energy) for the first two years of their lives? Do you understand that during this time they will require consistent training and socializing? Yes No
24. How do you plan on handling difficult puppy behaviors such as chewing on furniture or biting on hands?________________________________________________________________________________________________________
25. Why is a golden right for you? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
26. Do you plan to take your puppy through puppy classes? YES NO
27. Do you plan to keep the puppy in a kennel/create at night/when you are not home?
YES NO
28. How do you plan to exercise this puppy/dog? _______________________________________________________________________________________________________________________________________________________________________________________________________________
29. Do you understand puppies should be considered unprotected until fully vaccinated therefore should not be exposed to other dogs or dog traffic areas? How do you plan to exercise your puppy before they are fully vaccinated?________________________________________________________________________________________________________
30. What do you plan to feed this puppy/dog? ____________________________________________________
31. Are you familiar with a balanced raw diet? YES NO
32. Are you familiar with titer testing? YES NO
33. Do you plan to take this puppy/dog to a groomer? YES NO
34. Would you ever have this puppy/dog shaved? YES NO
35. What will this puppies primary purpose be? ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
36. How would you describe your ideal dog? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
37. Have you read over our puppy contract? YES NO
38. Where did you hear about Em's Goldens?_________________________________________________
Vet Clinic Name________________________________________________________
Vet’s Phone number (______)_______-___________________
Referral 1.
Name________________________________________________________________
Phone #(_____)______-_____________
Referral 2.
Name________________________________________________________________
Phone #(_____)______-_____________