Wade's Teenie Weenies - Questionaire

PLEASE DONT BE OFFENDED BY THIS QUESTIONAIRE, I ONLY ASK YOU TO DO THIS BECASUE I LOVE MY BABIES. I ASK THAT IF YOU ARE INTERESTED IN PURCHASING ONE OF MY PUPS, PLEASE PRINT THIS PAGE OUT AND FILL IN SO THAT I CAN EVALUATE. MY UPMOST GOAL IS TO MAKE SURE MY PUPS WILL BE LOVED AND CARED FOR. THANK YOU IN ADVANCE.

The following questions are being asked of you so that the right puppy and the right placement of each puppy is made by bringing the various requirements of both the puppy and his or new owner(s) into perspective, BEFORE a choice is made. I hope you will agree that the animal's welfare must be my foremost consideration in considering a placement. Please answer the following questions as completely as you can, and return this form when you've finished.

Name*:
Address*:
Home Phone*:
Work Phone:
Referred by:
What reference materials have you read?*:
How many individuals of this breed are you acquainted with?*:
Type of dwelling*:
If renting, please give name and address of landlord:
Name, address and phone number of your veterinarian*:
Who will be the primary care giver?*:
Where will the puppy be kept during the night?*:
Where will the puppy be kept during the day?*:
Is anyone home during the day?*:	YesNo
How many hours on the average will the puppy be left alone?*:
Will there be someone available to feed and exercise the puppy during the day?*:	YesNo
Have you ever owned a dog before?*:	YesNo
Do you have any other animals?*:	YesNo
Do you have any children?*:	YesNo
If yes, what are their ages:
Does anyone in your household have allergies to animals?*:	YesNo
If yes, to what and how severe?:
Are you interested in a male or female puppy?*:	MaleFemaleDoesn't Matter
Have you considered an older dog instead of a puppy?*:	YesNo
How did you hear about this breed?*:
What do you expect the activity level of this breed to be?*:
What kind of floor surfaces will the dog be on in the house?*:
How many hours a day will the puppy be kept outside?*:
How will he be confined when he is outside?*:
Do you have a fenced yard or suitable pen?*:	YesNo
Have you ever house trained a dog before?*:	YesNo
How long have you lived at this address?*:
Will you be attending any training classes?*:	YesNo
If yes, at what age will you start, which activities or competitions are you interested in, who is the trainer?*:
How long did your last pet live?:
What were the circumstances of its\' death?:
Have you ever returned a pet to the breeder?*:	YesNo
If so, what were the circumstances?:
Have you ever given a pet away?*:	YesNo
If so, what were the circumstances?:
Have you ever taken a pet to a pound or shelter?*:	YesNo
If so, what were the circumstances?:
Do you intend to breed the dog?*:	YesNo
Do you understand the difference between a limited registration and a full registration?*:	YesNo
Last but not least, will you love my baby and care for him/her to the best of your ability?*:	YesNo
Email address*: