EmailMe Form - Puppy Questionnaire!

Puppy Questionnaire!

Please fill out this questionnaire when inquiring about our puppies. It will help us assist you in finding the perfect puppy for you. Please answer honestly as there are no right or wrong answers. Thank you.

Name *
First Last
Email *
Phone
### - ### - ####
City, State, Zip Code *
Web Site
Which puppy(ies) are you interested in?
Coat preference? *
Longhair
Smooth
No preference
Are you interested in specific colors?
Red
Cream
Black
Black & Tan
Black & Cream
Blue
Blue & Tan
Blue & Cream
Chocolate
Choc & Tan
Choc & Cream
Isabella
Isabella & Tan
Isb. & Cream
Wild Boar
Sable
Are you looking for a specific pattern?
Solid (with or without points)
Piebald
Dapple
Dapple Piebald
Brindle
Brindle Piebald
Gender? *
What age do you prefer? *
Puppy (Newborn-16 weeks)
Older Puppy (4-12 months)
Adult (over 1 year)
Any
Are you willing to have your puppy spayed/neutered before 8 months of age? *
Yes
No
How many children are in your home? *
What are their ages? *
How many adults are in your home? *
What is the activity level of your household? *
Busy/Active
Moderate
Calm/Not very active
Who will be primarily responsible for this puppy? *
Please tell us about any other dogs you have in your household. (name, breed, age, gender, altered?, etc) *
Please tell us about any other pets in your household. (how many and what kind) *
Tell us about any dogs you have previously owned. What happened to them? *
How long have you been searching for a new pet? *
What type of community do you live in? *
What type of home do you live in? *
Do you rent or own your home? *
If you rent, please provide the name, address, and phone number of your landlord.
How long have you lived at this address? *
Do you expect to relocate within the next two years? *
Yes
No
What size yard do you have? *
What type of fencing do you have? *
Chain-link
Privacy
Underground
Other
No fencing
Have you owned a dachshund before? *
Yes
No
Explain why you want a dachshund and why you chose this breed? *
What are your goals for your dachshund? *
Companion
Breeding
Conformation Events
Agility Training
Therapy
Earthdog
Field Trials
What type of registration are you wanting? *
How long do you anticipate your puppy to be left alone during the day? *
If shipping is required, please list the nearest airport to you.
Please give your veterinarian's name, address, and phone number *
How did you find us? Please be specific. *
For a personal referral, who referred you to us? If you chose "other" please explain.

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