Buyer Questionnaire

The following questions are being asked of you so that the right puppy and the right placement of each puppy is made by bringing the various requirements of both the puppy and his or her owner(s) into perspective,

BEFORE a choice is made. I hope you will agree that the animal’s welfare must be my foremost consideration in considering a placement. Please answer the following questions as completely as you can.

Required fields are marked in red!


Your name

Your address, including postal code

Contact number

E-mail address

Referred by

What reference materials have you read?

How many individuals of this breed are you acquainted with?

Type of dwelling (own or rent)
Own Rent 

If renting, please give name and address of landlord

Name, address and phone number of your veterinarian you will use

Who will be the primary care giver?

Where will the puppy be kept during the night?

Where will the puppy be kept during the day?

Is anyone home during the day?
Yes No 

How many hours on the average will the puppy be left alone?

Will there be someone available to feed and exercise the puppy during the day?
Yes No 

Have you ever owned a dog before?
Yes No 

Do you have any other animals?
Yes No 

Do you have any children? If yes, what are their ages?

Does anyone in your household have allergies to animals?
Yes No 

If yes to the above, to what and how severe?

Are you interested in a male or female puppy?
Male Female 


At what age do you wish to get the puppy?

How did you hear about this breed?

What do you expect the activity level of this breed to be?

What kind of floor surfaces will the dog be on in the house?

How many hours per day will the puppy be kept outside?

How will he be confined when he is outside?

Do you have a fenced yard or suitable pen?
Yes No 

Have you ever house trained a dog before?
Yes No 

How long have you lived at this address?

Will you be attending any training classes?
Yes No 

If yes, at what age will you start, which activities or competitions are you interested in, who is the trainer?

How long did your last pet live? What were the circumstances?

Have you ever given a pet away? If so, what were the circumstances?

Have you ever returned a pet to the breeder? If so, what were the circumstances?

Have you ever taken a pet to a pound or shelter? If so, what were the circumstances?

Do you intend to breed the dog?
Yes No 

Have you breed dogs before, If so when was your last litter?

How many litters have you bred?

What breeds did you breed?

Do you have any questions about us?