Your completion of this questionnaire will assist us in evaluating the type of puppy personality you are seeking and will enable us to make recommendations as to which puppy in a litter would be most suitable for your life style.

GENERAL INFORMATION

Name:

Address:

Telephone:

Email address:

Referred by:

How many people live in your home? adults children

If you have children, what are their ages?

Have you ever owned a dog before?

Do you currently own any Vizslas or other dogs? If yes, how old are they and what is their breed/size?

If you have owned dogs that are no longer living, at what age and how did they pass?

Do you have anyanimals at the present time?

If yes, what type of pet? (include age and sex)

How did you become familiar with the Vizsla breed?

Approximately how many Vizslas have you become acquainted with?

What research have you done on the breed?

Does anyone in your household have allergies to animals? Explain

TYPE OF PUPPY DESIRED

I want to add a puppy to my family at this time because:

The reasons I am considering or have selected the Vizsla breed are:

Please check your preference: ______Male ______Female ______No preference

If you have a sexual preference for your puppy,please specify why?

Specify any of the following activities that you want to participate in with your Vizsla:

______Show ______Field/Hunting Competition ______Personal Hunting Companion

______Obedience Training ______Agility ______Personal/Family Companion

______Obedience Competition ______Other (Specify: )

Specify the type of personality you desire in your puppy (for example, would you prefer a puppy with a very active and curious temperament (generally better hunters) or a puppy that is more laid back and not as active?):

Do you intend to spay or neuter your puppy? ______

If not, do you intend to breed your Vizsla? ______

If you intend to breed, will you agree not to breed until your puppy is at least two years old and has been OFA certified as free of hip dysplasia and to breed only with a purebred Vizsla who has been likewise OFA certified free of hip dysplasia? ______

HOME ENVIRONMENT

Who will be the primary care giver?

Will the puppy be a pet or a member of the family? Please describe how animals and people coexist in your home:

Describe where the puppy will live:

Describe where the Vizsla as a puppy (and as an adult) will sleep:

Describe where the puppy will stay when you and your family are away from home:

How many hours in an average day will the puppy be alone?

Do you plan on using a crate to housetrain the puppy and to confine the puppy when you are away from home?

Howlarge is your yard? Is your yard fenced? If not, where will the puppy be exercised/pottied?

Do you understand that Vizslas are relatively active, outgoing dogs requiring a good deal of exercise on a regular basis? ______

Note: Exercise is as important as food to develop and maintain body weight and good overall physical and mental health.

Have you ever raised a puppy through puppyhood (frequent trips outside during housetraining, housetraining accidents, puppy chewing or destructive behavior, discipline, etc.)? If yes, please indicate the breed raised and how recently:

Have you ever had a dog that you had to give away or return to the breeder?

If yes, please describe the circumstances.

When traveling in your vehicle, where will your dog ride?

FORMAL TRAINING

Are you planning to take your pup to training classes?

If yes, are there other objectives you expect to accomplish in these classes (such as learning basic command, learning “tricks”, enabling your dog to visit nursing homes, increasing self confidence or physical exercise, etc.)?

Do you know of any training facilities in your area?

Do you know if they use “positive training” techniques? (Best suited for Vizslas)

MISCELLANEOUS

If you go away on vacation and cannot take your dog, have you considered any arrangements for

the care of your dog while you are gone?

If yes, please explain:

We will try and assist you with boarding if the time is mutually agreeable as long as the dog is properly vaccinated, free of parasites and is socialized with other dogs.

Is there any other information that would be of interest to properly evaluate your requirements in a puppy?

Please email this completed questionnaire to:
Debra Evalds
Rheingold Vizslas

Revised Summer, 2008