Breeding Program Questionnaire
By filling in the questionnaire it does not constitute a contract on my part to provide you with a puppy, nor does it obligate you to take one. PLEASE DON'T HIT THE ENTER KEY UNTIL FINISHED. Thank you.
Have you read the FAQ page & Breeding page, it answers most questions including the price?
By filling in this questionnaire you are indicating that you are interested in the breeding program. Have you read over and understand how the breeding program works? (Please see the link - Breeding Program)
To participate in this program you must live within 1.5 hours of Perth. Will you be relocating outside of this area within the next 5 yrs.? i.e. job transfer etc.
Why are you interested in the breeding program?
Which breed are you interested in?
Bernese Mountain Dogs
Both (I do not mix breeds)
Are you interested in
Current Litter (Posted on website)
Upcoming Litter (within next year)
Puppy/dog on my Available page
First & Last Names
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Trinidad and Tobago
Bosnia and Herzegovina
United Arab Emirates
Papua New Guinea
Central African Republic
Democratic Republic of the Congo
Republic of the Congo
Sao Tome and Principe
United Republic of Tanzania
Country / Region
I do require a securely fenced yard with access to the yard through a door from your house. Do you have a securely fenced yard? I will only consider applications with a securely fenced yard. Please describe the height & type of fencing & approximate size of yard. Are you willing to email me a picture of it?
Do you have a swimming pool? Is it above ground or in ground? Do you have a fence around it separate from the rest of the back yard? If you don't how do you plan to keep the puppy/dog safe?
How many adults/children living in the residence? AGES PLEASE?
Who in the residence will be the owner of the puppy/dog? Name and age?
Who will be the primary caregiver of the puppy/dog?
Do you have any grandchildren or children that visit regularly?
Is there anyone in the household with allergies, asthma, disabilities?
Do you live in a house, townhouse or apartment?
Do you own your home, rent or reside with others?
Do you travel or own/rent vacation property that you frequent?
Types of employment for everyone in the house and hours worked ie. 8:00 a.m. to 5:00 p.m., midnights, shift work etc.
Are you able to take some holidays when the puppy/dog comes home? How long?
Are you prepared to have someone come in throughout the day to feed/exercise and let your puppy/dog out while at work? Who? How much time daily?
How much time on working days can you dedicate
to just the puppy/dog i.e. walking, playing, training?
In the morning? ie. 1/2 hour, 1 hour etc.
At lunchtime? ie. 1/2 hour etc.
In the evening? ie. 1/2 hour etc.
Why do you want a puppy/dog?
Have you ever raised a puppy before (not a family pet while growing up)? What research have you done on raising a puppy?
Are you planning on getting another puppy/dog other than this one? When? What breed? Are you on another breeders list?
Where will the puppy/dog be kept when no one is home i.e. family room, basement, garage, outside etc.?
What is your preference, male or female? Would you take the opposite if your preference wasn't available?
Could you describe current pets (cat, dog, sex, age, temperament, health, spayed or neutered etc. Will they adapt to a puppy/dog?
Can you tell me about past pets, what happened to them? If deceased, what they died from and at what age?
Did you or do you have any behavioral issues with current pets or past pets? How did you resolve these issues?
How do you feel about crate training?
How do you feel about obedience classes?
Are you planning to take this puppy/dog to dog parks, doggie day care, board at a kennel etc?
On average how many evenings a week are you away from home i.e. kids activities, sports, gym, classes etc.?
Are you planning any big events in the next year ie. new baby, new job, moving, taking care of elder parents etc.?
Is there anyone in the household/family/nanny that doesn't like, does not want or is afraid of puppies/dogs? Please explain.
What traits are you looking for in a puppy/dog that would help me place the right puppy with you i.e. activity level, temperament, size, color, personality etc.?
What are you interested in a puppy/dog for i.e. companionship, conformation, breeding, obedience, draft, agility, tracking, field, therapy etc.?
What research have you done on the breed/s?
How did you hear about Glenbern?
Any other questions/information you would like to include?
Do you agree that the information provided by you is accurate & true?
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