Rosegate Kennel

Questionnaire

We appreciate your taking the time to answer some questions about yourself and your family to help us match you up with the perfect puppy. The information you provide is optional, and of course, it will not be shared with any other entity.

First Name
Last Name
E-mail Address
Address Line 1
Address Line 2
City
State
Zip Code
Daytime Phone	() -
Evening Phone	() -
My occupation
Number and ages of Children in my home
Who will be the primary caretaker of the new puppy?
Any family members with allergies to dogs?
Tell me about your living situation. House/apartment, Urban/rural, fenced yard?
How much do you travel? What arrangements will you make when you are away from home?
Breed of Interest
I am interested in this breed because...
Other breeds I am considering...
Color and sex of the puppy I desire
Other pets I currently own
Pets I have owned in the past
What were the qualities that you loved about past pets?
Qualities in a past pet you would like to avoid
Have you ever had to find a new home for a pet you owned? If so, why?
Were your past experiences with housetraining a dog successful?
Do you want your puppy to learn to relieve itself outside, or to be paper-trained?
Are you comfortable with crate training?
Do you have a relationship with a vet?
Have you considered the expenses associated with vet care, grooming and boarding?
Have you ever bred a litter of puppies?
Do you plan to have your puppy spayed/neutered?
Do you understand, and are you comfortable with the spay/neuter agreement?
What is your biggest concern about bringing home a new puppy?
Additional Comments

Rosegate Kennel

head to toe love!

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Questionnaire