Akire PWDs - Puppy Questionnaire Form

Puppy Questionnaire Form

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* Items with asterisk are required fields.

Name:*

Address:

Street or P.O.

City

State

Zip

Email:*

Phone:*

()

FAX: ()

How many people are in your household?

Do you have children? Yes No

If yes, what are their ages?

Does every family member want a dog? Yes No

If not, please explain:

Who will be responsible for caring for the dog and what is their general home/work schedule?

What made you decide to get a dog, and particularly, a Portuguese Water Dog?

For what purpose are you purchasing a PWD? (Check all that apply to you)

Family pet	Obedience Training	Show Breeding
Therapy Dog	Agility	Water work
Other

Do you have experience in raising and training a puppy? Yes No

Do you currently have dogs in your household? Yes No

If yes, please explain:

Do you have them professionally groomed, or do you groom them yourself?

Do you have any special concerns about PWD's?

What facilities do you have for your dog?

Is your yard fenced?

What is the approximate size of your yard?

Where will you keep the puppy? Inside Outside

Do you own a crate? Yes No

Size

Do you understand the financial commitment involved in having a pet, other than the original cost of the dog (Veterinarian cost, quality food, regular grooming)?

Are you willing to spay/neuter this dog?

Are you interested in a puppy or a young adult? Puppy Young Adult

Do you want a male or a female? Male Female No preference

Would you prefer a wavy or a curly coat? Wavy Curly No preference

You would like a puppy as of what date?

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