Heartland Golden's Companion-Puppy Buyer's Questionnaire
Please fill out the fields as realistically as possible, avoiding "sugar-coating". But feel free to elaborate.
The more information we receive about your expectations from a puppy, and how it will fit into your life style,
the better able we will be to match you with the right puppy.
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Tel. # 's
Email:
Where will your puppy be living? Please mark all that apply:
How do you plan to fill your puppy's / dog's need for exercise? Please mark all that apply:
Are you a breeder?
Are you interested in information on becoming a breeder?
Are you planing to spay or neuter your puppy?
Please enter your preference for the sex of your puppy:
Please enter your preference for the color of your puppy:
Please enter your preference for the size of your puppy/dog:
Please describe the preference you have in the temperament of your puppy:
Would you like me to send you information about any upcoming litters?
Thank you for taking the time to fill out the Questionnaire!
Are you intersted in a well trained, adult Golden Retriever?
Would you like me to notify you when puppies are expected?
Other Adults in your Household?
Are there Children in your Household? Please also enter their ages.
Why have you decided that the Golden Retriever is the breed you wish to own?
Where will your puppy be living? Please mark all that apply:
Who will be responsible for the care and training of your puppy?
What are your plans for the house training of your puppy?
How do you plan to fill your puppy's / dog's need for exercise? Please mark all that apply:
Would someone be home with the puppy during the day? Please explain:
Are you interested in taking puppy classes, obedience training, or attend other activities with your puppy?
Please explain:
Please describe how you would like your new puppy to fit into your family/ lifestyle.
Expectations you may have from your puppy.
Please also list anything else that you may want me to know.
Please describe the preference you have in the temperament of your puppy:
Are you interested in showing this puppy in dog show events? Please explain:
Have you owned a Golden Retriever, or other dogs before? Please list all.
What pets are curently living in your household?
