HOME MEET THE PARENTS NURSERY RESERVE A PUPPY QUESTIONNAIRE

Adoption Questionnaire

Please complete this online questionnaire. Our objective is to match the right puppy with the right new parents. This is the first step in obtaining one of our beautiful puppies. We appreciate your interest and will respond as quickly as possible.

Name:
ADDRESS AND CONTACT INFORMATION
Street:
City:
State:		Zip:
Email:
Phone:		Fax:
VETERINARIAN INFORMATION
Name:
Street:
City:
State:		Zip:
Email:
Phone:		Fax:

CARING FOR YOUR PUPPY
1. Why are you choosing a Havanese Puppy?

2. Are you interested in?
3. What other pets do you have?
4. What pets have you had in the past and where are they now?
5. How many children do you have? What ages?
6. Where do you live?
7. Is your yard fenced? Yes No
8. Are you willing to sign a spay/neuter contract? Yes No
9. Do you know how to house train a puppy? Yes No
10. Will you be able to pick up your puppy? Yes No
11. How will your puppy get exercise?
12. When your puppy is alone where will he be?
13. How many hours per day will your puppy be alone?
14. Where will he sleep at night?
15. What food, treats and toys do you plan to give him?
16. Who will groom puppy?
17. What flea/tick preventative do you plan to use?
18. What heartworm preventative do you plan to use?
19. Please estimate your puppy expenses per year.
20. Who in your family will be the primary caregiver?
21. When you are on vacation, who will care for your puppy?
22. Do you have any questions for us?

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