Puppy Questionnaire
Sancha Samoyeds
Contact information: Name______Phone # ______
Address:______City:______Prov/State: ______Postal/Zip Code______
Email address______
Are you married?_____or in a relationship?______how long?______Any kids?______
How old are you (both)?______and your children______
If you do not now have children, are you planning to, any time soon?______
Is anyone in your home allergic to any animals?______
Have you ever owned a Samoyed before? ______
Why have you chosen to get a Samoyed?______
______
Have you owned any dogs or other pets before? If so, please tell us something about them, and if you still have them. If not, what happened to them?______
______
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Are you looking for a male?_____female_____? Puppy?______Adult?______Any reasons for your preference?______
If you have other pets now, what will you do if they do not get along with this puppy/dog? ______
Do you live in a house______apartment______townhome______on acreage______?
Do you own your home ______rent/lease?______how long there______?
If you rent, is your landlord aware and does he approve you getting a puppy? ______
How big is your yard?______Is it fully fenced?______
If not, are you prepared to fence it securely prior to receiving this puppy/dog?______
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Are you aware of the exercise requirements of this breed? How do you plan to exercise your new puppy/dog? ______
Do you understand the need this breed has for companionship? Will this dog live indoors or outside?______
Do you realize this dog will shed?______This dog will require considerable grooming – who will do that?______
Do you think you might like to breed this dog someday? ______
Will you be taking your puppy to training classes?______
Do you already have a Veterinarian you have used in the past? Please provide the name and address and phone number of that Veterinarian or of the Vet you would plan to go to:______
______
Are you prepared to commit the next 10-15 years to the care of your Samoyed?______
______
Completing this questionnaire does not guarantee you a puppy, nor does it automatically put you on a waiting list. Please contact us to discuss what we might have available for you.