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Puppy Questionnaire
Please fill out questionnaire and I will be in contact soon. Information from this form is used to aid in placing the right puppy with the perfect family or person. This is a very important to me. Read our
Privacy Policy
for more information.
PUPPY QUESTIONNAIRE
E-Mail Address
Name
Address
City
State (USA only)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Phone
Country
Number in family and ages of children:
Other pets (type and age):
Have you owned a dog before?
Yes
No
How long did you have the dog?
What happened to the dog?
What breed was the dog?
Have you ever taken a dog to the shelter or rescue?
Yes
No
If yes, what were the circumstances?
Please talk briefly about your experience with dogs. Have you ever competed with dogs?
Have you ever owned a therapy dog? What is your level of training experience?
Why do you feel a Portuguese Water Dog is the right breed for you?
Do you (both) work outside the home?
Yes
No
What is the longest (# hours) that the dog will be left alone?
Please explain
How much time per day
per week
can you commit to the dog for feeding,
walking, exercise, playing, training, socializing, grooming, etc. (Area provided for comments)
How do other members of the family feel about getting a PWD puppy/dog?
How will you housebreak (potty-train) the puppy?
And when do you anticipate that the puppy will completely understand
Do you live in a house or apartment?
House
Apartment
If you rent, does your lease permit a dog?
Yes
No
Are there size restrictions?
Yes
No
Do you have a fenced area?
Yes
No
If yes, Size?
Height?
If no, how and where will you provide enough exercise for your pet?
Will you take the dog out on lead every time a potty break is needed?
Will your puppy be inside or outside when you are away?
Inside
Outside
Will your puppy be confined when you are not with him/her?
Yes
No
Do you know who will be responsible for:
Housebreaking?
Yes
No
Feeding?
Yes
No
Grooming?
Yes
No
Vet appointments?
Yes
No
Training?
Yes
No
Walking/exercise?
Yes
No
Socializing?
Yes
No
Cost of owning?
Yes
No
What do you anticipate the cost of ownership, feeding, training,
grooming and health care will cost annually for this dog?
Are you prepared financially for this cost?
Yes
No
And to financially insure the dog and/or deal with emergency medical costs?
Yes
No
Do you have a veterinarian?
Yes
No
If no, it is time to begin the search for a veterinarian that you are comfortable with. Remember just as with your own health, you will know and understand changes in your dog's health better than anyone, and must accept responsibility to ensure appropriate care.
Vet Name
Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Are you willing to take your puppy to Puppy Kindergarten socialization classes?
Yes
No
If no, why not?
Do you know of a humane dog training facility near you?
Yes
No
Will you take your dog through basic obedience training at a minimum?
Yes
No
If no, why not?
Do you know what the Canine Good Citizen is?
Yes
No
Do you plan to work with your dog in therapy work?
Yes
No
Do you plan to compete with your dog, or would you like information about?
Conformation (show)
Yes
No
Would like more info
Obedience
Yes
No
Would like more info
Rally obedience
Yes
No
Would like more info
Agility
Yes
No
Would like more info
Water Work
Yes
No
Would like more info
Tracking
Yes
No
Would like more info
Flyball
Yes
No
Would like more info
AirDog (Docker Dogs)
Yes
No
Would like more info
Other
What if you must move to a residence that does not allow pets?
What will you do if your dog is missing?
What will you do if your dog becomes aggressive?
Are you familiar with AKC?
Yes
No
What does AKC mean to you?
Do you belong to any local, regional, or national dog-affiliated or training clubs?
Yes
No
If yes, please list
If circumstances rendered you unable or unwilling to keep and/or care for this dog properly, would you agree to return it to the breeder?
Yes
No
If no, why not?
Are you interested in a male or female?
Male
Female
Doesn't matter
Do you prefer a wavy or curly coat?
Wavy
Curly
Doesn't matter
Other information, comments, concerns
My family is interested in a Portuguese Water Dog and understand the long-term commitment for care and training of this animal. Please consider us for an ClasSea Portuguese Water Dog.
Yes
No
Note:
This form must be complete. Incomplete forms will not be considered.