All information in this questionnaire will be kept in strict confidence by me and not used by anyone else!
 
Name:


Address:


Phone Numbers:
Home:


Work:


Cell:


Email Address:


 
Number of Adults in the family:



Number of children & their ages:

Other pets (Number, Species, ages, etc):

Referred by:

Have you ever owned a dog?:

Which breed/s:

If you have ever owned a Golden, from whom did you acquire it?

Do you have experience with the breed?

Why did you decide on a Golden?

Do you live in an apartment, house, townhouse?


Do you consider your yard large, small, average?


Is your yard fenced?             Type of fencing:


Where will your dog spend most of its time?   In the house:      fenced yard:       house with dog door access:     other:


Generally how much time will the dog be alone during the day and night?


Do all adults work outside the home?


In spite of the best care and the best breeding practices, health problems may occur that require surgery or extensive treatment. These problems can inlcude but are not limited to:  OCD, hip dysplasia, liver shunts, allergies, cancer, accidental poisoning, and auto accidents. Can you afford good veterinary care and are you willing to invest in your puppy in the event of  health problems?
     

Are you willing to take your dog to obedience classes so that it will become an enjoyable companion and good canine citizen?


Are you interested in your dog for (List all that apply):
companion, hunting, agility, conformation, therapy dog, tracking, show, obedience, hunt tests


Are you interested in joining the:

Local Golden Retriever Club?


National Golden Retriever Club?


Preference for sex of puppy?       Male   Female   Either


Reason?



Are you willing to buy and use a crate?


Are you familiar with proper crate use?


Are you willing to abide by a contract that specifies matters regarding registrations, health, breeding, and general care requirements?


Will you agree to spay or neuter the puppy?


Until your dog is at least two years old are you willing to keep it thin, on a premium dog food, and not expose him to exercise that jeopardizes joint formation?


Is there any additional information you would like to share?



I hereby swear that the content in this questionnaire is the truth to the best of my knowledge.

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