Kimberjac Puppy Questionnaire
Name:
Spouse Name:
Home Address:
City, State, Zip
Home Phone:
Cell Phone:
Email address:
Occupation:
Spouse Occupation:
How did you hear about Kimberjac Labradors?
Have you ever owned a Labrador?
Yes
No
Sex of puppy you are hoping for
Male
Female
No Preference
Color of puppy you are hoping for
Yellow
Black
No Preference
When are you hoping to add a puppy to your household?
What is the purpose of this puppy?
Family Pet
Show Prospect
Breeding
Performance Events
Do you plan on spaying/neutering your pet?
Yes
No
Undecided
If you have been in contact with other Labrador breeders, please indicate who and how recently.
Are you on one of these breeder's waiting lists for a puppy?
Yes
No
Are you aware that Labradors shed year-round, often profusely (and that Lab hair will ultimately become part of your decor)?
Yes
No
Labradors are people oriented dogs. Approximately how much time will you have to spend with your new puppy on a daily basis?
Will you agree to take your puppy to obedience classes after it is fully vaccinated?
Yes
No
Maybe
Do you have any children?
Yes
No
Expecting to have children
If you have children, please provide their names and ages.
Are you aware that Labradors, or any large dog for that matter, can knock down a small child and possibly cause injury?
Yes
No
In what type of a residence to you live?
single family house
apartment
multiple family home
mobile home
other
Do you own or rent?
Own
Rent
Are you or your spouse a member of the military?
Yes
No
Plan to enlist
Veteran
Do you have a fenced in yard?
Yes
No
Plan to install in the near future
If you do not have a fenced-in yard, how to you plan to exercise your puppy, potty your puppy, and provide security for your puppy?
Puppies' bladders are not fully developed. How long will your puppy have to go between bathroom breaks?
Where will your puppy be while you are away?
Inside, loose
Inside in a crate
Outside, loose
Outside, restrained
Other
What attracts you to the Labrador Retriever as a breed?
What are you looking for in a dog? What are your expectations? Is there anything in particular that you do not want in a dog? Please be specific.
Have you ever had a dog with parvo in/near your home?
Yes
No
Unsure
Where will your puppy sleep?
Inside, crated
Outside
Inside, loose
Do you know what type of food you plan to feed your puppy?
Are you willing to consider the breeder's recommendation when choosing a food for your puppy?
Yes
No
Depends
What are the names/ages/breeds of your current pets?
Who will be the primary care giver for the puppy?
What is the name and address if your current vet?
Does everyone in your household agree to getting a puppy?
Yes
No
Unsure
Have you ever turned in an animal to a shelter for any reason?
Yes
No
Don't know
Have you ever been charged with animal cruelty?
Yes
No
Prefer not to answer
Kimberjac Labradors insists that if, at any time during the life of your puppy, you decide that you cannot keep it, the puppy must be returned to us, as the puppy's breeder. Would you agree to this?
Yes
No
Undecided
Kimberjac Labradors insists on meeting with prospective families prior to considering them for a puppy. Would you agree to this?
Yes
No
Maybe
Kimberjac Labradors places puppies on AKC Limited Registration, meaning that no potential offspring of the dog can be registered with the AKC. Do you agree to Limited Registration?
Yes
No
Unsure
Kimberjac Labradors takes the preference of prospective puppy families into consideration when placing puppies from a litter; however, the breeder has the final decision on which puppy goes to which family. We do our best to match the puppy with the family, but prospective families must realize that we spend a great deal of time with our litters and know their personalities well. This means that there is no "1st pick", 2nd pick" and so on. Do you agree to this process?
Yes
No
Finally, Kimberjac Labradors insists that puppy families enter into a contract in which both parties agree on many things, amongst which is that your puppy will be spayed/neutered (at times recommended by the breeder), that the puppy's physical and mental needs will be met, that proper vet care, both routine and emergency, if needed, will be provided, amongst other terms. Do you have a problem entering into a contract with a breeder in this fashion?
Yes
No
Uncertain
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