Keepsake Puppy Questionnaire
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Name:
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Address:
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Home Phone and Work Phone or Cell Phone:
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Email Address:
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How did you hear about Keepsake Tollers?
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What type of Dwelling do you live in?
House
Apartment
Condo
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Do you own or rent?
Own
Rent
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If you rent have you checked with your Landlord about getting a pet?
Yes
No
N/A
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Have you owned dogs before? What happened to them?
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Do you currently own any pets? If so please list.
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NAME, ADDRESS, AND PHONE NUMBER OF YOUR VETERINARIAN
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Is someone home during the day?
Yes
No
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If not, what kind of arrangements will you be making for your new puppy?
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Do you have a securely fenced yard? Please describe the type of fencing your yard has.
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If there are children, what are their ages?
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Does anyone in your household have allergies to animals? If yes, to what, and how severe?
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Do you plan on attending Puppy Kindergarden and Obedience classes?
Yes
No
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Will your Toller primarily be a
House Dog
Outside Dog
Both
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Who will keep your dog when you go on vacation
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Why do you want a Toller?
Pet/Companion
Show Prospect
Hunting Dog
Breeding
Obedience/Rally
Agility/FLyball
Therapy Dog
Other
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When would you ideally like to be able to get a puppy?
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Are you aware that Tollers are VERY ACTIVE dogs and need plenty of exercise? How will you take care of your dog's needs?
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What sex of puppy do you prefer?
Male
Female
either sex of puppy that we beel best suits your family requirements
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Would you be interested in co-owning a show/breed quality male or female?
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What age of your Toller do you prefer?
Puppy
Young Adult (approx 1 to 3 years old)
Retired Adult (approx 5 or 6 years old)
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Do you understand the difference in limited and full registration?
Yes
No
Unsure
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Are you willing to keep us informed of your puppy's progress with regular updates and photos?
Yes
No
Please list any questions or concerns you have for me here.
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Indicates Response Required
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