Regen Labrador Retrievers

Questionnaire for Prospective Puppy Purchasers

In an attempt to get to know you and have the ability to place the right puppy with your family, please take a few moments to answer the following questions.

Your Name (required):

Your Spouse's name (if applicable):

Your Address (required)

Email Address:

Telephone Number (required):

What is your occupation?

What is your spouse's occupation (if applicable)?

Do you have any children? If so, please list their ages.

How did you hear about Regen Labrador Retrievers?

Have you ever owned a Labrador Retriever before? yes no

Do you realize that Labrador Retriever puppies (and adults) will:

1. Eat or chew almost anything they come in contact with?

2. Shed profusely at certain times of the year?

3. Have an abundance of energy?

4. Will usually retrieve until your arm falls off?

What color are you hoping to get? ( ) Black ( ) Yellow ( ) Chocolate ( ) No preference

Are you aware that The American Kennel Club only recognizes Black, Yellow and

Chocolate Labrador Retrievers? yes no

Would you consider any color besides what is listed above? yes___ no___

Do you want a Male ___ Female____ No Preference____

Do you own or rent your home? Own___ Rent____

( ) Single Family Residence ( ) Condominium ( ) Apartment ( ) Other

If rental, can you obtain a letter from your landlord allowing you to have

a Labrador Retriever? yes___ no___

Will the landlord require a non refundable pet deposit or increase in

your monthly rent? yes___ no___ (you may want to know prior to obtaining a puppy)

Will you supply your landlord's contact information?

(Name, address and telephone) yes___ no___

Are you planning to move in the near future? yes___ no___ If yes, when?

Do you have a fenced yard? yes___ no___

If you don't have a fenced yard, what are your plans for exercising your puppy?

List any pets you currently own.

Have you lost (death or other) any pets? If so, when and how?

Have you ever owned a pet that was sent to a shelter? If so, please explain the circumstances

Who will be the primary care giver to the puppy?

How many hours per day will the puppy be alone?

Are you committed to spending 10-15 (+/-) years with a dog? yes no

Where will the puppy/dog spend the majority of it's day?

Where will the puppy be kept while you are away?

How much time will be spent with you/family each day/evening?

Where will the puppy sleep at night?

How do you feel about dogs being kept in a crate while the owner is away?

What activities do you and your family enjoy? ______

Are you willing to enroll in a puppy training class? yes no

What are the reasons you want a Labrador Retriever? (check all that apply)

Family Pet/Companion Hunting Agility Conformation

Obedience Competition Breeding Other (explain)

Is there any member of your household who is not in favor of getting a puppy? Yes No

If yes, who and why?

Do you already have a Veterinarian? yes___ no___

If so, may I contact him/her? yes___ no___

Veterinarian name and contact information ______

If you do not have a Veterinarian, would you like a referral? yes___ no___

Please feel free to share any information about your family needs in order for to determine

the best puppy suitable for your needs and lifestyle.

Have you talked to other breeders? yes___ no___

If so, are you on a waiting list for one of their future breedings? yes___ no___

Please share with me the other breeders you have been in contact with or on their

waiting list.

Do you understand that although we do our best to breed healthy and sound puppies,

that there is no guarantee that a puppy/dog purchased from us will be free of genetic defects?

yes____ no____