If you are interested in an English Springer Spaniel or french bulldog, please highlight this page then, copy (control C) and paste (control V) this questionnaire into an email and email it to my address. Or I can email it to you directly in a word perfect or PDF.
Shore English Springer Spaniels and French Bulldogs
Potential Puppy Buyer Questionnaire
Barbara Orr
(506)632-8303
mailto:borr@nb.aibn.com
http://shorespringerspanielfrenchbulldog.net/
Your assistance in completing this questionnaire will help me place the right puppy or adult with you. Please be sure to fill out every applicable question. Thank you for you cooperation and interest.
NAME__________________________________________ PHONE_____________________
ADDRESS___________________________________________________________________
CITY______________________STATE__________ZIP___________
How did you learn of Shore English Springer Spaniels and French Bulldogs?
____________________________________________________________________________
For what purposes are you purchasing a Springer or French Bulldog? Family Pet______
Obedience________Show_________Breeding_________
If you are looking for a show prospect, do you have any show experience?___________
If yes, please explain:_________________________________________________________________
Do you prefer a Male_______,Female________
Puppy________(8 weeks - 6 months)Puppy_______(6-12 months)
Older dog________What age range?_________
French Bulldog color: cream________ brindle_________ pied_________ fawn_________
English Springer Color: black/white_____________ or liver/white___________
If your first preference regarding sex or color isn't available, would you still be interested in a puppy?_____
Do all family members want a new puppy?__________
List the ages of all persons residing in your home:
List occupation of the adults residing in the home:
Are you aware that French Bulldogs have exercise intolerance?______
Are you aware that French Bulldogs are prone to allergies, particularly skin allergies?______
Are you aware that French Bulldogs can be more difficult to housebreak than most dogs?______
Are you aware that French Bulldogs shed?_____
Is anyone in your family afraid of dogs?______
Is anyone in your family allergic to dogs or cats?____
Does anyone in the household smoke? _____
Have you had French Bulldogs before?______
If yes, where did you get your French Bulldog? Please list breeder/rescue or other source. _____________________
Have you owned other breeds?_______
How many, when, and from whom?____________________________________________________________
If they died, how did they die and at what age?______________________________________
Do you own any other pets currently, other than dogs?___________________________________________
Have you ever had to put a dog to sleep?_____What was the reason?______________________
Are you committed to care for this dogs needs for its lifetime?(both breeds can live up to 12 years of age or more)______
Do you own______or rent_____ If you rent, do you have permission to have a dog? ________Proof will need to be provided.
Home______Apartment______Townhouse________Trailer_______
Is your yard securely fenced?______Type of fence?________How many feet high?__________
Do you padlock your gates?________Do you have a kennel run?________
If you do not have a securely fenced yard, how do you plan on exercising your new dog/puppy?___________
_________________________________________________________________________________________
Do you have a pool?_____________
Is it fenced separately from the rest of the yard?___________
Will someone be home with the dog during the day?_________With whom?___________________________
If your dog will be left home alone during the day, how many average hours?_______________
Where will the dog be kept when you are not home? House_____Outside______
If in the house, where? Your Bedroom________
Child's Room_____Laundry Room_____Basement______Other(please list) _________
In crate or loose?______
If you are not home during the day, what arrangements will be made to feed and exercise the puppy while you are not home?_______________________________________________________________________
Where will the dog be when you are home?_________________________________________________
Where will the dog be kept at night? House_____Outside______
If in the house, where? Your Bedroom______Child's Room______
Laundry Room_____Basement_______Other (please list) ________
At night will the dog be in a crate or loose?__________
Who will be responsible for the dog's care, such as feeding and walking?___________________________
Who will be responsible for the dog's health care and veterinary visits?____________________________
Are you willing to take this dog to obedience and puppy kindergarten classes in order that he will become an enjoyable companion and a good canine citizen?____________
Where will you take your dog to classes?______________________________________________________
Who will train the dog?___________
How would you describe your lifestyle as a family?_______________________________________________
What type of recreation do you enjoy as a family?________________________________________________
How do you usually spend your family vacations?________________________________________________
How would the puppy be cared for when you are away?___________________________________________
If divorce should occur in your family, however unlikely, what would happen to the dog?______________
Are you aware that puppies require more time and attention than older dogs?___________
Are you willing to make that kind of investment of your time?________
Have you taken into consideration the expense of a dog including food, training, routine vet care, emergency vet care?________
How much do you expect to pay yearly for dog care? _________
Do you have a regular veterinarian?____Please list their name and address__________________________
_____________________________________________________________________Phone_____________
Please note we do veterinary reference checks. You will need to give your vet's staff authorization that we can ask about your current/previous pets and their care.
Are you willing to spay/neuter this dog?_____
Are you willing to allow a home check? This entails myself or if you live far away, an associate, that will come to your house and see where the puppy will live. ____________
Have you ever rescued a dog and helped place it for adoption or kept it yourself?_________Please explain:
_______________________________________________________________________________________
Have you ever had a dog hit by a car?_____Please explain the circumstances_______________________
_______________________________________________________________________________________
Are you willing to keep in contact with the breeder with periodic updates as we love all these puppies as our babies and are always interested in how they are doing?________
Are you aware that all vet schools and the American Animal Hospital Association are recommending a reduce vaccination protocol?_______
Are you willing to not vaccinate yearly (per the research that is out there), even if your vet isn't aware of the new research?_______
Are you aware that no matter how careful your breeder is, and even though your breeder obtains the appropriate clearances from the parents of the puppy, that just as in humans, there is always a possibility that your puppy could inherit some genetic problems including hip dyplasia, heart problems, cancer, allergies, etc?
_________
Are you still willing to purchase a puppy knowing that there is no such thing as a perfect puppy?______
After reading this questionnaire, do you still feel that you are willing and able to offer this type of commitment to a dog, so that the dog you purchase will have the type of lifestyle that he requires and deserves?_______
Do you understand that in the event that you are unable to care for or are forced to give up this puppy/dog at any time in its lifetime, it must come back here. ________If possible the dog may be transferred to another family member or friend after filling out a questionnaire and signing a contract.
Please write a paragraph as to why you and/or your family, want a Springer or French Bulldog. Please use as much space as possible, the longer the better.
If sending back via email (preferred) please use a script font. If you don't have a script font, please use a different font.
SIGNED:_______________________________________________________
DATE:_______________________
Please list references below (previous breeders you have bought from, dog trainers, and personnal references):
thank you for your time,
Barbara Orr