PUPPY QUESTIONNAIRE

All questions contained in this questionnaire are strictly confidential and will become part of your medical record.

Name (first and last) Email: Address: City: State: Zip: Phone number: Cell: Date:

Are you looking for a lab or  Labrador  Toller How soon are looking took take home a puppy: Toller: Are you interested in Male male or  Female female or is either  Either sex ok: Do you plan to spay neuter?: (Unless other arrangements are made, all puppies are sold on AKC limited registration):______What are your plans for this puppy; companion, show, obedience, agility, flyball, hunting, hunt tests, therapy work, breeding, etc.?

If you are looking for a Toller puppy, have you met any tollers in person yet? If so, who and in what setting?

Have you been in contact with any other breeders? If so, who and are you on any other breeders waiting lists?

Who will the puppy share the home with (other pets, children, extended family)?

Is someone home during the day? Yes No If not, what arrangements will be made for your puppy during the day? Have you owned a dog before? Yes No? Is yes, what happened with the dog?

WHERE DID YOU HEAR ABOUT OUR KENNEL?

Please tell us about the environment you will provide for you puppy including property set up (yard, containment), home, rural/urban, parks, water, etc......

Anything else you want to share about yourself?

What questions do you have for us?

Thank you for taking the time to fill out this information. Please complete and email it to: [email protected]