Puppy Waiting List Questionnaire


General Information

Name__________________________________________________________________

Address_________________________________________________________________

City/Postal Code____________________________________________________________

Telephone _____________________________________________________________

E-mail Address___________________________________________________________

Face Book Name ______________________________________________________


Name of your Veterinarian _________________________________________________

Address __________________________________ Town ___________________ Zip _________

Phone _______________________ Email ______________________________________


Preferences

Interested in: Sex: Male (  ) Female (  ) Either (  )

Color: Black (  ) Yellow (  ) Chocolate (  ) Any (  )

Select all that apply
Pet (  ) Show (  ) Agility/Rally (  ) Hunting ( ) Breeding (  )

Does it matter which females waiting list you are added to? (  ) Yes (  ) No

If yes, Name of female ___________________

Have you ever owned a Labrador before? (  ) Yes (  ) No

Home

Do you: (  ) rent (  ) own (  ) other

If you rent, does your lease permit pets? (  ) Yes (  ) No

Do you have a fenced in Yard? (  ) Yes  (  ) No

If no, How do you intend to exercise your puppy/dog?
_________________________________________________________

Do all adults in your home agree that the Labrador is the best fit for your family ( ) Yes ( ) No

Have you researched the Labrador breed? (  ) Yes (  ) No

Do you have children in your home? (  ) Yes (  ) No

If yes, how old are they?_________________________________________________________

Have they had a puppy before? (  ) Yes (  ) No

Do you have a dog(s) now? (  ) Yes (  ) No

If yes, how many dogs live in your home? ______

Please list their breed, sex, age, and whether they are spayed/neutered or intact.
________________________________________

Who will be primary caretaker for the dog?___________________________________

How do you plan to confine your puppy (crate, exercise pen, etc) while you are not at home?
_________________________

Is anyone in your household allergic to dogs? Yes ______ No_____

if yes, Please explain____________________________________________________

Are you willing to stay in contact and keep me informed of your puppy's progress?
(  ) Yes (  ) No

Are you on a waiting list with any other breeder? Yes ____ No _____

Any other information you would like to add

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Thank you and I will review your questionnaire and contact you. Feel free to follow up anytime.
PLEASE COPY AND PASTE TO YOUR EMAIL
SEND TO
wendi@stargazerlabradors.com