Prospective Puppy Buyer Questionnaire

Pankonin Farm Kennel

Please fill out the following questions to the best of your knowledge, there are no ‘wrong’ or ‘right’ answers. We appreciate your candor in this questionnaire to ensure the puppies get placed in the best homes possible. You will not be considered for a puppy if we do not have a completed form on file.

Prospective Buyer Information:

Name:
Address:
Main Phone:
E-mail address:

How would you prefer to be contacted?

General Information:

1) What breed(s) are you considering? Why?

2) Do you have a preference of male or female?

3) Please describe any physical attributes that you are looking for:

4) Are you prepared to spay/neuter your dog or are you interested in breeding?

a. If you are interested in breeding, do you have a history of breeding?

5) Is there a time of the year that would be best to place you with a puppy? Ie: summer vacation, etc.

Living Arrangements:

1) Where will the dog spend majority of his/her time?

2) How long will he/she be left alone?

3) Do you rent or own your home? If you rent, have you spoken with your landlord about bringing home a puppy?

4) Do you have any other pets?

5) Do you have a fenced yard? If no, are you prepared to leash your dog when outside?

Pet History:

1) Have you ever surrendered a dog? Why?

2) Have you or anyone in your household ever been charged with animal cruelty or had any animal taken away from you or any member of your household for suspicion of animal cruelty? If yes, explain:

By signing this questionnaire, I affirm that all statements are true to the best of my knowledge. (If you are submitting over the computer, please type your name in the signature line. I will have you sign a copy once you pick up the puppy)

Signature:_________________________________________ Date:_______________

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