Havaneese Puppy Buyer Questionnaire

Puppy Questionnaire

Puppy Buyer Questionnaire

First Name:

Last Name

Street Address:

City:

State:

Phone:

Fax:

Email:

How did you find out about us?:

Number of children and their ages:

List any other animals in the household:

Occupation, or Number of hours worked per week:

Which sex?:

Purchasing as a pet, show dog, or breeding dog?:

Have you ever raised a puppy before?:

Is this your 1st Havaneese?:

Ever surrendered a dog to a shelter? if so, why?:

What are your biggest concerns about getting a puppy?:

Describe your yard and fencing:

Where will your puppy sleep?:

Where will your puppy spend its days?:

Vet Name:

Vet Phone Number:

Personal Reference 1:

Personal Reference 1 Phone or Email:

Personal Reference 2:

Personal Reference 2 Phone or Email: