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Puppy Questionnaire
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How did you hear about this site?
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Internet Search
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Friend
Other
If Other please specify:
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What is your age?
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Less than 13
13-18
19-25
26-35
36-50
Over 50
What type of home do you live in?
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House
Apartment
Condo
Mobile Home
Do you have children?
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Yes
No
If yes, what are their ages?
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What would you do with the dog if you find yourself with child?
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Have you ever owned a dog before?
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Yes
No
How long did your last pet live, and what were the circumstances behind its death?
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Have you ever had to give a dog away? If so, what were the circumstances?
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Have you ever returned a dog to the breeder? If so, what were the circumstances?
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Do you have any other animals?
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Yes
No
Has any of your previous dogs had pups?
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Yes
No
Where will the dog be kept at night?
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Where will the dog be kept during the day?
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How will the dog be confined when it is outside?
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Is anyone home to take care of the dog during the day?
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Yes
No
What do you expect the activity level of this dog to be?
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High
Medium
Low
Do you plan on attending training classes?
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Yes
No
Have you considered an older dog instead of a puppy?
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How soon do you want a puppy?
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How long are you willing to wait for a puppy?
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Are you interested in a male or female puppy?
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Male
Female
Are you interested in a red or blue ACD?
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Red
Blue
No preference
Are you wanting a show or pet puppy?
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Show
Pet
Are you interested in showing the dog in the Conformation ring?
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Yes
No
More info, please
Have you earned any preformance titles on your dogs?
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Yes
No
Do you intend to breed the dog?
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Yes
No
Name
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First
Last
Email
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Phone Number
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I agree to receiving marketing and promotional materials
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