<p> Klasique Puppy Questionnaire</p><p>This application is required of anyone wishing to be considered for a puppy.</p><p>The purpose of the questionnaire is to determine that my puppies will be placed in a home where they will be accepted as a member of the family and will provide pleasure to the family as well as provide for the happiness and well- being of the dog.</p><p>Please complete the application by copy and pasting your answers in an email back to me: [email protected].</p><p>How did you find Klasique Goldens Site? EGRC ? Golden Retriever Search Engine? Referral? </p><p>Name(s): </p><p>Address: </p><p>Phone number(s) Home: </p><p>Cell:</p><p>Email Address: </p><p>Place of Employment/Job Position & number of hours worked per week for all applicants: </p><p>Do you own or rent your home?</p><p>Will you keep me informed of any and all changes to the above contact information? </p><p>What is the size of your family? And Ages? </p><p>If married or in a relationship, how long: </p><p>Names and Ages of Children:</p><p>Are Children in your future? </p><p>Does anyone in your household have allergies/Asthma? Please Explain: Who will be the Primary caregiver for your dog? </p><p>Is the entire family in agreement with purchasing this new puppy?</p><p>Do you have a fenced yard? Kennel? Please describe yard size and fencing: How do you propose to keep your puppy safe & secure while away from home:</p><p>Are you fastidious with your yard? . </p><p>Are you willing to put up with urine spots and or dead bushes and grass? </p><p>Holes from digging? . </p><p>Do you use chemicals on your lawn, please explain:</p><p>* Do you currently own or have you owned animals in the past? Please explain: </p><p>If no longer owned please explain circumstances: </p><p>Have you raised a puppy in the past? </p><p>Are you willing to endure the trials of “Golden Puppyhood? ”(Puppy hood can last up to two years) </p><p>Do you have or plan on any additional help for caring for the puppy? Care giver? Dog Walker? Doggy Daycare? Please Explain:</p><p>Do you keep a fastidious home? </p><p>Are you willing to put up with the constant shedding? Dirty paws? </p><p>Will your dog be isolated to any rooms of the house? or garage? </p><p>Have you been told or read about the health concerns of this breed? . </p><p>Are you willing to obtain Annual Eye Certifications from a board certified ophthalmologist? . </p><p>Are you willing to obtain OFA Elbow and Hip Ratings on your dog after the age of two? </p><p>Has a monetary figure been discussed regarding emergency and/or medical costs the family budget can afford? What is the amount? Do you have time available every day to insure that your dog receives plenty of exercise? Explain: </p><p>Are you aware of the amount of grooming required for a Golden Retriever and are you willing to provide it? . </p><p>What are your hobbies? Your childrens hobbies?</p><p>Will your dog be included in your activities? </p><p>Will your dog live inside, outside or both? </p><p>Where will your dog sleep at night? Will you attend obedience class? </p><p>Will you spay or neuter your pet? </p><p>Do you plan on breeding? </p><p>What is the purpose of your interest in Golden Retrievers? Showing? Breeding? Agility? Hunting? Obedience? Other? Friend? Please explain:</p><p>**Do you have a gender preference?</p><p>Two References:</p><p>Any other information you wish to share? </p><p>Have you read any articles on my web site? Which ones? </p><p>Have you visited my Klasique Goldens Facebook Page @ https://www.facebook.com/pages/Klasique-Goldens/213257268688017? ref_type=bookmark or my youtube @ https://www.youtube.com/channel/UC3NZX_hx2jiia4H1nVrmL2Q</p><p>Do you have any questions that I can answer for you?</p><p>This questionnaire does not indicate that you are accepted as a puppy owner. This decision will be made after a telephone interview and personal interview with you and your family. I do not sell my puppies on a first come/first serve basis. I make my choices based on what I feel is the best home and living environment for my puppies. </p>