Breezyknoll Golden Retrievers
Puppy Adoption Questionnaire

In order to ensure our puppies will be going to suitable new homes and you as the family or prospective new owner will be getting a puppy that you will be completely satisfied with, we kindly ask that you reply to the following questions. These questions are not meant to be judgmental in any way, but are to help us in placing the right pup for your needs and for the sole purpose of the health and happiness of our puppies. Please remember there are no right or wrong answers as each situation is unique and different. We spend a lot of time and effort into raising our puppies to be well socialized and healthy and our concerns are that they are going to the most suitable and best home possible. As breeders we take responsibility for bringing these puppies into this world and therefore follow their progress as well throughout their lives. All information provided will be kept confidential. Please feel free to add additional comments as well.

Your Details First...

Name:
Address:
City:
Province or State:
Postal/Zip Code:
Telephone:
E-mail:

  1. Why have you chosen the Golden Retriever and what has made your decision to purchase at this time?

  1. Do you currently own or have you owned a dog(s) before?
    • What Breed(s)?
    • How long?
    • How many dogs are in your home now?
    • Are they spayed/neutered?
    • Where did you obtain them from? Please specify (e.g. Breeder, Pet Store, etc.)
  1. Puppy Preference:
    Will accept opposite sex if first choice is not available:
  1. Colour Preference:
  1. For what purpose are you buying this puppy? (Check all that are applicable)
 Pet/Companion
Hunting
Obedience
Field Trial
Agility
Conformation
  1. Are you willing to Spay or Neuter this puppy/dog if being purchased as a pet?
    If no, please explain why;
  1. Does every member in your family wish to obtain a new puppy?
  1. Briefly describe your family and your lifestyle (your occupation, interests and activities, family members names, etc.):
  1. Do you have any children?
    Children's Name(s) and Age(s):
  1. What other pets or livestock do you have?
  1. Do you live in a?
  1. Do you?
  1. If you rent, is your landlord aware that you are getting a dog and may I contact them?
    Please provide your landlord's name, address and phone number.
  1. Where will you be housing your Golden puppy? (e.g. home, garage, dog house, outdoor kennel, other, etc.)
  1. Do you have a securely fenced in yard?
    If not, are you willing to erect a secure area to prevent your puppy from running off or being stolen?
  1. Do you have a swimming pool?
    Is it fenced separately from the yard?
  1. Where will your puppy sleep at night?
  1. Where will your puppy be kept during the day and who will look after it?
  1. How will you go about housebreaking your new puppy?
  1. Are you opposed to crate training your new puppy?
    If yes, please explain why?
  1. Have you ever taken obedience classes?
    Are you willing to attend puppy socializing/obedience school with this dog so that it will become an enjoyable companion and good canine citizen?
    If no, please explain reasons why?
  1. Do you have a Veterinarian?
    If yes, may we contact them? (Please supply name, clinic name and location, and telephone number)
  1. Are you willing to feed the best quality food recommended by the breeder or vet?
  1. Are you willing to return the dog to me, the breeder should some unforeseen circumstance arise and you would no longer be able to keep the dog?
  1. Are you committed and financially able to care for a dogs needs for the next ten to fifteen years?
  1. Will you allow the breeder or a close friend of the breeder to visit at any time? Are you willing to keep the breeder informed as to the dog(s) progress from time to time?
  1. How did you learn about Breezyknoll Goldens?
    Past Experience
    Breed Club
    Advertisement
    Dog Annual Magazine
    Another Breeder (Please Specify)   
    Reference By (Please Specify)   
    Other (Please Specify)   

  1. Time Frame: In what time frame are you hoping to obtain a puppy in?
  1. Please feel free to add any additional comments you feel maybe of interest to us:
Please Confirm Your E-mail Address:

    

Thank you for your co-operation and for taking the time to fill out our questionnaire in order to help us get to know you and your family better.

After completing the above questionnaire, press the Submit button and I will get back to you as soon as possible. If I do not respond to your questionnaire within 24 hours, please send me an e-mail - hheyboer@sympatico.ca - or contact us by telephone, 519-674-5571, as occasionally there can be problems with the sending process. I look forward to assisting you with your search to help you find the next member of your family and the puppy of your dreams.