Questionnaire and Information Form
Have you ever owned a Golden Retriever before?
Yes
No
If the answer to the previous question was
no, have you ever owned a dog before?
Yes
No
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What Type of Dog(s) have you owned?
Do you intend to purchase a crate for your
puppy and use it for training and when you are unable to monitor him/her properly?
Yes
No
Where will your puppy spend most of his/her
time, and also, when he/she is an adult(i.e. backyard, in a crate, in the
house,...as a bed decoration)?
Do you have a fenced-in backyard?
Yes
No
Will you be bringing your pup to your Vet
every three weeks until all four sequences of shots are completed?
Yes
No
Will you be refraining from bringing your
pup out in public places (especially parks) until pup is at least 4 months
old and has received ALL shots?
Yes
No
If the answer to the above question is No,
please give an explanation:
Do you own a pool?
Yes
No
If yes, is there a secured fence around your
pool with a self-latching gate?
Yes
No
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If you do have a pool, what are the dimensions
of space between the bars on your pool fence?
If the space is 4 inches or more, would you
be willing to temporarily put up chicken wire until your pup is at least 4
months old?
Yes
No
Null
Where will your pup/dog sleep during naps
and at night?
Have you already selected a Veterinarian?
Yes
No
If yes, how did you go about selecting him/her
(i.e. by referral, let your fingers do the walking)?
What type of food do you anticipate you will
be feeding your puppy?
Will you be feeding your puppy a high quality
puppy food until he/she is at least 6 months old, before switching him/her
to a high quality adult food?
Yes
No
Will you be taking your puppy to obedience
classes at four months?
Yes
No
If no, please give explanation:
Were you interested in a male or female puppy
(or it doesn't matter)?
What shade were you most interested in (light,
medium or dark gold, or doesn't matter)?
When were you wanting to bring puppy home
(spring, summer, fall, winter)?
What age of pup/adult were you interested
in (new-8week, older pup, young adult, adult)?
What are your expectation of owning a golden
retriever?