Lynda Shearer
Kamloops, B. C.
Canada
Phone:(250) 434-6966
Email:
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QUESTIONNAIRE FOR PROSPECTIVE OWNERS
Thank you for your interest in our Springer Spaniels. By completing this questionnaire, the information you provide will enable me tomatch you with the Springerthat is right for your particular situation.
Please add any additional comments on a separate page and e-mail the completed form to the above address.
Name______Phone______
Address______City______Prov______Code______
1. Purpose for acquiring a dog______
2. Are youfamiliar with the Springer Spanieland how did you come by this knowledge? ______
3.What attracts you to the Springer Spaniel? ______
4. Have you investigated various breeds to determine which one best suits your lifestyle?______
5. What other breeds have you considered?______
6.Have you ever owned a spaniel? ______If no, have you owned dogs and what became of them?______
______
7. Have you ever returned a dog to a breeder? ______If yes, what was the reason? ______
______
8. Have you ever given away or sold a dog?_____ If yes, under what circumstances? ______
______
9. Have you ever surrendered a dog to the SPCA, pound or animal shelter? ______If yes, what were the
circumstances? ______
10. Do you live in a house/apartment/townhouse?______Do you own or rent?______
11. Are dogs allowed where you live?______
12. If you have children, what are their ages? ______
13. Do you presently have any other pets?______Describe ______
14. Is anyone in your household - (1) Allergic to dogs?____yes_____no (2) Smoke? _____yes______no
15. Is someone at home for all or part of the day?______
16. Who would be the dog's primary caretaker?______
17. Do you have a fully fenced yard (5 ft high or more)?______What type?______
18. Would you consent to a home/yard inspection before placement of the dog to ensure it is dog-proof? _____yes _____no
19. Where would your dog be exercised outdoors and allowed to relieve himself?______
20. In what areas of the home would your dog be allowed?______
21. What activities would you share with your dog?______
22. Do you travel often?______If yes, what arrangements would be made for your dog while you are
away? ______
23. Are you familiarwith the grooming needs of a Springer Spaniel’scoat? ______
24. How many hours would you expect your puppy to be alone? ______
25. Do you prefer a male or female puppy? ______Reasons? ______
______
26. Are you willing to sign a CKC Non-Breeding Agreement?______
27. Are you interested in Conformation showing, Obedience trials or other dog sports? ______
28. Name of your Veterinarian: ______
Veterinarian’s phone number: ______
References: ______
______
29. What method of discipline would you be using to correct or modify any unwanted behaviour of your puppy?
______
Additional comments:
It is recommended that approved purchasers maintain contact with me so that when a breeding has taken place, I can inform you of the possible whelping date. Once the bitch whelps, a non-refundable deposit in the sum of $200.00 is required to reserve a puppy. Should I determine that another breed may better suit your needs, I will be happy to assist you with information and to recommend breeders. Thank you for taking the time and effort to complete this questionnaire.
Lynda Shearer