Em’s Goldens puppy questions
Name:___________________________________________________________
Spouses name:____________________________________________________
Phone number: (_______)_______-___________ TEXT? YES NO
Email:_____________________________________________________________
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? ____________________________________________
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. ________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________
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 no 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. Have you ever raised a puppy? YES NO
If yes what breed?________________________________________________
When in your life did you have the puppy? ____________________________
Did you have help? _______________________________________________
24. What made you choose a golden retriever? _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
25. How long have you wanted a golden? __________________________________
26. Why is a golden right for you? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
27. Do you plan to take your puppy through puppy classes? YES NO
28. Do you plan to keep the puppy in a kennel at night/when you are not home?
YES NO
29. How do you plan to exercise this puppy/dog? _______________________________________________________________________________________________________________________________________________________________________________________________________________
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.
Vet’s Clinic Name ________________________________________________
Vet’s Name Dr._________________________________________________________
Vet’s Phone number (______)_______-___________________
Referral 1.
Name________________________________________________________________
Phone #(_____)______-_____________
Referral 2.
Name________________________________________________________________
Phone #(_____)______-_____________