Puppy Questionnaire

Sancha Samoyeds

Directions: either download the questionnaire at the bottom of the ‘Puppies’ page (right click on link, choose ‘save as’ and save to your desktop or My Documents), or copy and paste this into an email message and fill it out before sending to pcummins@telus.net

Contact information: Name___________________________________Phone # ______________

Address:_______________________________________________________________________City:____________________Prov/State: _________________Postal/Zip Code_______________

Email address___________________________________________________________________

Are you married?_____or in a relationship?_______how long?__________Any kids?_________

How old are you (both)?___________________and your children_________________________

If you do not now have children, are you planning to, any time soon?_______________________

Is anyone in your home allergic to any animals?________________________________________

Have you ever owned a Samoyed before? ____________________________________________

Why have you chosen to get a Samoyed?_____________________________________________

______________________________________________________________________________

Have you owned any dogs or other pets before? If so, please tell us something about them, and if you still have them. If not, what happened to them?_____________________________________

______________________________________________________________________________

______________________________________________________________________________

Are you looking for a male?_____female_____? Puppy?_________Adult?________Any reasons for your preference?______________________________________________________________

If you have other pets now, what will you do if they do not get along with this puppy/dog? ______________________________________________________________________________

Do you live in a house______apartment______townhome______on acreage________________?

Do you own your home ___________rent/lease?__________how long there________________?

If you rent, is your landlord aware and does he approve you getting a puppy? ________________

How big is your yard?____________________Is it fully fenced?__________________________

If not, are you prepared to fence it securely prior to receiving this puppy/dog?________________

______________________________________________________________________________

Are you aware of the exercise requirements of this breed? How do you plan to exercise your new puppy/dog? ___________________________________________________________________

Do you understand the need this breed has for companionship? Will this dog live indoors or outside?______________________________________________________________________

Do you realize this dog will shed?__________This dog will require considerable grooming – who will do that?___________________________________________________________________

Do you think you might like to breed this dog someday? _______________________________

Will you be taking your puppy to training classes?____________________________________

Do you already have a Veterinarian you have used in the past? Please provide the name and address and phone number of that Veterinarian or of the Vet you would plan to go to:_________

_____________________________________________________________________________

Are you prepared to commit the next 10-15 years to the care of your Samoyed?______________

______________________________________________________________________________

Completing this questionnaire does not guarantee you a puppy, nor does it automatically put you on a waiting list.  Please contact us to discuss what we might have available for you.