Puppy Questionnaire

If you would prefer to handwrite/email/mail the puppy questionnaire please download the pdf here.

Adult purchasing puppy: First Name *

Last Name *

Spouse/Partner Name

Names of Children or other family members in the household

Address: Street, City, State, Zip *

Email Address *

Phone Number *

Please state ages of children in the household

Are your children okay around dogs and other animals?

If no, explain

Do you own your residence? *

Do you have a completely fenced/secured yard? (Note: we do not consider an invisible /electric fence a fenced secure yard) *

If you don’t have a fenced/secure yard what is your plan to exercise your puppy or are you going to fence your yard?

Is there someone home during the day or able to go home to care for your puppy during the day? *

How long will the puppy be home alone during the day? *

Where will the puppy spend the day? *

Where will the puppy spend the evening? *

Where will the puppy sleep? *

What type of personality would you consider ideal for your puppy as an adult dog? *

Please provide me some information about you & your family you think I need to know in order to provide the best puppy for you? *

What gender are you interested in? *

Would you consider a puppy of another gender if your preference isn’t available? *

If other, please explain:

Do all family members agree on the addition of the dog and the breed of dog? *

If no, please explain

Are you willing to attend training classes? *

Have you ever owned any bully breed before? *

If yes or no, what breeds of dogs have you owned? *

Have you ever surrendered a dog to a shelter or pound? Have you ever euthanized a dog for reasons other than old age/illness? Please explain: *

Do you agree that this dog will never ride in the back of an open vehicle? That this dog will never run loose unsupervised? Will never be tied or chained outside as a means of confinement? *

Please give name address and phone number of your vet or one you have worked with in the past: *

Please give us the name, address, phone number and email address of 3 references – preferably people who have knowledge of you both from a character and dog-owning standpoint. If this is a show puppy prospect, active exhibitors are preferred if possible.

1) *

2) *

3) *

How did you hear about us? *

Typed signature *

Today's Date *

Thank you for your message. It has been sent.

There was an error trying to send your message. Please try again later.