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Welcome to the Questionnaire!

Please fill out the following questionnaire. I will do the best I can to fit your needs.




Fields marked (*) are required

Email From:*

FirstName:

Last name:

What is your town, state, and zipcode? How far are you willing to travel to pick up your new dog? Would you travel out of state?

How much money can you afford to spend to buy your new dog?

Are you looking for a dog from a shelter or breeder?
Shelter
Breeder
No Preference

I want my new dog to be a(n):
Puppy:
Young Adult:
Adult:
Senior:
Do you have a particular breed in mind?

What traits are you looking for in your new dog?

Do you have any other pets? How many? What kind? How old are they? Also, please describe their temperament(s):

What size dog are you looking for? i.e. Yorkshire Terrier (5-7lbs), Toy Poodle (14-16lbs), Cocker Spaniel (24-28lbs), Labrador Retriever (55-75lbs), Great Dane (100-120lbs):

Are you looking for a male or female?
Male
Female
No Preference

Are you looking for a hypoallergenic dog?
Yes
No
No Preference

How much time are you willing to spend grooming your dog?:

I want my dog to have:
Short hair
Long hair
No Preference

Do you have a preference as to whether your dog sheds?
Yes
No
No Preference
How much time are you planning on spending exercising your dog? How do you intend to do so?:
What size yard, if any, do you have? How big is your house or apartment?:
What energy level dog are you looking for?
How many people are there in your home, including yourself?:
Are there children in your home? How many and how old are they?:
What are planning to do with your dog (i.e. compananion, jog, swim, hunt...)?
Do you want a guard dog?
Yes
No
No Preference

Do you have a preference as to whether your dog is already housebroken (if you select "yes", then remember that this can be difficult to find and that I will do my best)?
Yes
No
No Preference

Is there anything else you would like me to know?

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