Puppy Questionnaire

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Phone number: Click or tap here to enter text.

E-mail: Click or tap here to enter text.

Address:	Click or tap here to enter text.

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Why would you like a Golden as opposed to other breeds?

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What type of puppy are you looking for?

☐Show? ☐Pet? ☐Working?

What is your purpose in obtaining a puppy?

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Will someone be home with the puppy for much of the time during the first month?

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How much time will this puppy spend in the house?

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Do you own your home?	☐Yes	☐No

How long have you lived there?

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Do you have a fenced in yard?	☐Yes	☐No

Would you be willing to get a fence?	☐Yes	☐No

If not, how do you plan to keep the puppy safe when outside?

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How do you plan to exercise your Golden each day?

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Who lives in your house?	Name and age?

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What other dogs have you owned? Breed? Where are the dogs now? How did they die? At what age?

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What other pets do you have now? How many? Spayed, neutered?

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Whose responsibility will it be to care for the puppy?

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Does everyone in your family want a puppy?	☐Yes	☐No

What hours will someone be home with the puppy?

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Who will take care of this dog when you go on vacation?

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Are you willing to use a crate for your puppy?	☐Yes	☐No

Are you willing to go to obedience classes with your puppy?	☐Yes	☐No

How do you plan to socialize your puppy?

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Are you willing to feed a high-quality diet (as instructed by the breeder)?

☐Yes	☐No

Are you willing to keep the puppy at a desirable weight?	☐Yes	☐No

Are you willing to provide tick and flea preventative to help prevent or

minimize flea and tick related diseases?	☐Yes	☐No

Are you willing to provide monthly heartworm medication to prevent

Heartworm disease?	☐Yes	☐No

Are you willing to stay in touch with the breeder and notify them of any

problems or changes related to your puppy?	☐Yes	☐No