Puppy Questionaire
First $ last name *
Street Address *
City, State, Zip code *
Email *
Phone number and area code *
Do you own or rent your home? *
 yes 
 no 
Number of adults in household? *
Age? *
 18-25 
 26-35 
 36-50 
 51-60 
 60-up 
Ages of children in household? *
Any allergies to dogs? *
 yes 
 no 
 don't know 
Is everyone in the family committed to getting an irish setter? *
 yes 
 no 
If no please explain? *
Who will be the primary care giver of this puppy? *
Have you ever owned a dog or irish setter before? *
 yes 
 no 
If yes, what happend to the dog? *
When are you looking to purchase the puppy? *
Would you be interested in a male or female? *
 male 
 female 
 doesn't matter 
If available would you consider an older puppy or adult dog? *
 yes, older puppy 
 no, older puppy 
 yes, adult dog 
 no, adult dog 
Do you have a fenced yard? *
 yes 
 no 
 dog run 
How much excersize will this puppy get? *
Reason for getting an irish setter? *
 pet 
 show 
 obedience 
 hunting 
 agility 
 breeding 
check all that apply.
How many hours a day will puppy be left alone? *
 1-3 
 3-5 
 6 or more 
If more will there be a potty break? *
 no 
 yes, by family member 
 yes, by dog walker 
Where will puppy sleep at night? *
Will puppy be spay/neutered? *
 yes 
 no 
Do you have any other pets? *
 yes 
 no 
WHAT WOULD HAPPEN IF YOU COULDN'T KEEP THE PUPPY/DOG? *
Are you willing to take the puppy to classes? *
 yes 
 no 
 maybe 
How much time will you spend on grooming and training? *
Do you have a Vet? If yes give name and phone#. *
How will the puppy get to you? *
 shipping 
 pick it up 
Are you willing to stay in contact with Kanmar for puppy updates? *
Anything else that you would like to tell us?
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