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Pixielane
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Dachshunds
Corgis
Questionnaire
Contact
Please complete the following questionnaire to be considered for one of our puppies.
Thank you.
First name
Last name
Email
Phone
Multi-line address
Country/Region
Address
City
Zip / Postal code
Housing Type
Have you read any resource materials on this breed?
Yes
No
Do you have any prior experience with this breed?
Yes
No
Your veterinarian's name, phone number, and address:
Is anyone home during the day?
Yes
No
Where will the puppy be kept during the day?
Where will the puppy be kept during the night?
How many hours on average will the puppy be left alone?
Will there be someone available to feed and exercise the puppy?
Do you have any other animals? If yes, please list breed, age, and sex below.
Do you have children?
Yes
No
Does anyone in your household have any known animal allergies?
Yes
No
Do you have a puppy gender preference?
Male
Female
No Preference
What are your activity level expectations for this breed?
Do you have a fenced in yard or suitable pen?
Yes
No
Do you have any prior experience potty training a puppy?
Yes
No
Do you plan on attending any puppy training classes?
Yes
No
Have you ever had to return a pet to their breeder? If yes, please explain the situation below.
Have you ever given a pet away? If yes, please explain the situation below.
Have you ever surrendered an animal to a shelter or rescue? Is yes, please explain the situation below.
Do you intend to breed the dog?
Yes
No
By checking this box you agree to return the puppy to their original breeder shall the need occur.
*
Submit
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