Puppy Questionnaire

Thank you for your interest in our dogs. Please take a few minutes to fill out our form to help us determine if one of our puppies is right for you. These questions will assist us in selecting the puppy that best suits your lifestyle, and helps us to feel confident that our puppies are going to good homes. Once completed email it back to us at [email protected]

Name(s)______

Address______

City______

Province/State______

Postal Code/Zip Code______

Home Ph______Work Ph ______Cell Ph______

Email______Best Time to call______

How were you referred to us? ______

Why are you interested in obtaining a Bouvier from us? ______

Would you prefer a male or a female? If you do have a preference, why? ______

If the above preference is not available would you consider the other?______

Are you looking for a Bouvier that you can show?______What types of activities do you hope to do with your Bouvier? ______

Have you ever had a Bouvier des Flandres before?______

If yes, from whom did you obtain your Bouvier from?______Have you familiarized yourself with the characteristics of the Bouvier?______Have you previously owned any other dogs? If yes what breeds? ______

If yes, what happened to them? ______

Do you presently own any other dogs? If yes please state breed, age, sex and spay/neuter status. ______

Do you presently own any other animals? If so what types? ______

Have you ever given a dog up to a shelter, pound or rescue group? If yes please explain the circumstances etc. ______

Have you ever bred a dog/dogs before? If yes please elaborate. ______

How many adults live in your household?______Are there any children? If so please give ages and gender. ______

Does anyone in your family have allergies to dogs? ______Do you have a fenced yard? If not, how will you provide exercise on a regular basis for your Bouvier? ______

Where will your Bouvier stay during the day? ______Where will your Bouvier sleep during the night? ______

Where will the dog be when no one is home? Loose or crated, confined to a special room or kennel, inside or outside? ______

Are you committed to take care of t his dog for it’s lifetime?______

What would you do with the dog if you suddenly found yourself unable to keep him/her? (things do happen) ______

Are you willing to take obedience classes with your puppy? ______

Are you willing to have this dog spayed or neutered (if not purchased as a show dog)? ______

Do you have a veterinarian? If so please give the name and address for a reference. ______

Please add anything else that you might think of as being helpful in our placement of a puppy to your household. ______

Thank you very much for your time!