Puppy Questionnaire
Your assistance in completing this application will help us to place the right puppy in your home.
All information will be kept confidential and used only by us.
Thank you for your cooperation and interest in our dogs.

1. How did you hear about our dogs?

 
2. Your Name:


3. Your address: (if you use a PO Box for mailing can you please also include your actual street address)


4. Your Phone Numbers:
Home:


Work:


Cell:


5. Email Address:


6. Occupation: (this is important as it will indicate to us how much time the puppy will be spending at home by itself):

 

7. Why have you decided that the Golden Retriever is the breed you wish to own?


8. Why do you want a Golden Retriever? Please select the one(s) that apply:
For show Other Therapy Work Obedience Agility Family Companion Breeding

9. Have you ever owned a Golden Retriever before or any other breed of dog?

10. If your first choice is not available would you be willing to take a puppy of the opposite sex or different color, or would you wait for another litter?

 
11. What are you looking for a puppy or older dog?
 


12. Is your preference a male or female , light, medium or dark in coat color?

13. What is the most important thing you are looking for in a new puppy/dog?


14. What is/are the main reasons for purchasing a Golden Retriever (please check all the apply): family companion,
Show prospect, Breeding , Obedience competition, Hunting/Field work,  agility, Pet , Therapy, Tracking?

15. Are all members of the family ready for a new dog?

16. Will there by any major changes in your life style in the next year? (example moving, marriage or a new baby?)

17. Do any members of your family have any type of allergies to dogs?

18. Do you live in a house, townhouse, condominium etc

19. Do you own or rent where you presently reside?

20. If you rent have you discussed having a dog with your current landlord?
Landlord name and phone number:

21. Is your yard completely fenced with a secure fencing?

22. If not, would you be willing to do so before bringing home a new puppy/dog or build a secure run for the puppy/dog
to be in when not being safely supervised?

23. Do you currently own any other pets?

24. Age of children in the home?

25. Would someone be home with the dog during the day?

26. Are you willing to crate train your new puppy?

27. If no one is going to be home during the day when the puppy requires extra attention and feedings, would someone be able to come home to feed the puppy it's lunch and let it out for exercise to keep it on a regular
routine?

28. Where would the puppy or dog be housed during the day if no one is home?

29. Are you willing to take this puppy to puppy socialization classes and then on to obedience classes so that it will become an enjoyable companion and good canine citizen?

30. Who in your home would be doing the training?

31. Have you ever completed a AKC title in conformation, obedience, field, tracking or agility? If yes, please list

32. Do you agree not to let this dog ride in the back of an open vehicle?

33. Do you agree never to let this puppy/dog run loose in a unfenced area unsupervised where harm may come to it?

34. Do you agree never to tie this dog up as a means of confinement?

35. Do you agree not to use a electric collar on this dog for the purpose of training?

36. Have you ever had to euthanize a puppy or dog other than for old age?

37. Would you be willing to let the breeder or a friend of the breeders come to visit the puppy or dog once it is in his or hers new home to see how it is working out?

38. When this puppy is purchased as a family companion and is not going to be bred, do you agree to have it spayed by 9 months if it is a female or neutered no later than 1 1/2 years of age if it is a male and submit a
veterinarian certificate to the breeder as proof of surgery for her records?

39. Are you willing to contact us and keep us informed of any problems that may develop with the pup throughout it's entire lifetime?

40. Send us updates/photos periodically?

41. Please provide 3 references including name, address, phone, and email

42. Please provide your veterinarian's name, address and phone number

43. If you have anymore additional information that would be helpful; to us, in placing the right puppy or dog with you, please feel free to add it below


I hereby swear that the content in this questionnaire is the truth to the best of my knowledge.

Today's Date:

Thank you for taking the time to fill out this application to assist us in finding the right puppy for you. I will contact you after reviewing your application to discuss the opportunity of being placed on a reservation list for the next upcoming litter as well as further details.

Please feel free to call us if you wish more information or need questions answered.
If you would like to come and visit us and our dogs we would be more than happy to set up an appointment for you.
It will also give us a chance to ask you a few more questions so we know exactly what you are looking for in your new puppy.

You are not automatically placed on a reservation list by simply submitting this application. An interview, as well as a deposit , to secure a reservation must be arranged before consideration of obtaining a puppy from Mainsail Golden Retrievers.