top of page

 ***Please Do Not send until we have Puppy's for sale****

                   Puppy Buyer Questionnaire

  The following questions will help us find the right puppy for you. Our goal is to find each puppy a loving home where they can be part of the family. The dog's welfare must be our foremost consideration before a choice is made for placement.

  Please complete the questionnaire and send to

  You need to copy and Paste.

                                          Personal Information

 Name: _________________

  Your age 21-30( ) 31-45 ( ) 45- 55 ( ) 55-70 (  ) 70 + (  )

   Home address_________________

  Contact Numbers Cell and Home_________________________

   Best time to call__________________

  E-mail address________________________


  Referred by ______________________________

 Family Information

1. Spouse or Significant others Name____________________

       a. Occupation of spouse or Significant other __________________

2. Number of family Members living in your home_______________________

3. Do you have any children? (   ) yes  (  ) no

   a. if yes what is/are their ages.____________________

4. Does everyone in the family agree on getting a dog? (  ) Yes  (  ) No

5.Why choose this breed? ____________________

6. What other pets do you currently have?_______________________

 6B. Are your pets spayed or neutered?____________________

7.What will be the living condition of the dog?_____________________

8.Who will primarily take care of the dog?_____________________

9. If you have kids, are they aware of how to handle a puppy or how will they be instructed to care for it?____________________________

10.Does anyone in your household have allergies to animals/pets? (   )Yes (   )No

If yes, to what and how severe?__________________

11.Have you ever owned a dog before? (   )Yes (   )No

12.If yes, what breed/s?_______________

13. How long did your last pet live?_______________

14.What were the circumstances of its death?​_______________________

15.Do you currently have other pets/animals? (   )Yes (   )No

16.If yes, please specify:________________________

17.Do you already have a trusted veterinarian? (   )Yes (   )No

18.If yes, please provide the vet’s name, clinic address, and contact number/s ______________

19.If there would be changes in your family’s situation such as a change in occupation or residence, or having a new baby, what will happen to the dog?______________________

20.Have you ever returned a pet to the breeder? (   )Yes (   )No

21.If so, what were the circumstances:___________________

22.Have you ever given a pet away? (   )Yes (   )No

23.If so, what were the circumstances:_____________________

24.Have you ever taken a pet to a pound or shelter? (   )Yes (   )No

25.If so, what were the circumstances:__________________ 

                               Housing Information

    1.Type of Dwelling

      ( ) House

      ( ) Condo

      ( )Apartment

   ( ) Mobile Home

    2.  How long have you lived at this address/home?___________________

​    3.If you’re renting, are you allowed to have a dog or pets?________________________

​    4. Please provide the name, address, and Phone number/s of your landlord:______________________________

    5.What kind of floor surfaces will the dog be on in the house?_____________________

    6.Do you have a yard? (   )Yes (   )No

    7.If yes, is it fenced? (   )Yes (   )No

    8.If yes, how high is the fence?_________________

    9.If not, how will the dog exercise?________________________________________

   10.Will you be willing to build a secure space or suitable pen for the dog so it can burn off energy without being supervised? (   )Yes (   )No

   11.Will the dog receive crate training? (   )Yes (   )No

               Puppy-related Information

    1.Why do you want this specific breed?________________________

    2.What reference materials have you read about this breed?_______________________

    3.How many individuals of this breed are you acquainted with?_______________

    4.What do you expect the activity level of this breed?

     (   ) Very High
     (   ) High
     (   ) Moderate
    (   ) Below average

  5.Are you aware of the health issues that may affect this breed? (   )Yes (   )No

  6.Are you interested in a (   )Male or (   ) Female puppy?

  7.What age do you wish to get the puppy?______________

  8.Have you considered an older dog instead of a puppy? (   )Yes (   )No

 9.What are the important factors for you? Rank the following with 1 being the highest priority:

(   ) Conformation (looks)
(   ) Breeding potential
(   ) Temperament
(   ) Fieldwork or hunting ability
(   ) Gender
(   ) Pet Therapy
(   ) Search and rescue
(   ) Family Companion
(   ) Ability to compete in obedience or agility
(   ) Show dog quality
(   ) Others:

10.Where will the dog live? Inside, outside, or both?__________________

11.Where will the puppy be kept during the day?_________________________

12.Where will the puppy be kept during the night?____________________________

13.How many hours a day will the puppy be kept outside?___________________

14.How will the puppy be confined when outside?_________________

15.Is anyone going to be at home throughout the day? (   )Yes (   )No

16.How many hours will the dog be left alone?

17.Will there be someone available to feed and exercise the puppy during the day? (   )Yes (   )No

18.Are you interested in showing the dog in the conformation ring? (   )Yes (   )No

19.Do you have dogs that completed AKC titles? Please specify:_____________________

20.Have you had experience breeding dogs? (   )Yes (   )No

21.Do you intend to breed this dog? (   )Yes (   )No

22.Have you ever house-trained a dog before? (   )Yes (   )No

23.Will you be attending any training classes with the puppy? (   )Yes (   )No

24.If yes, what age will you start?_______________________

25.Do you plan on having the dog spayed or neutered? (   )Yes (   )No

26.Who will be the trainer?_________________________

27.Do you understand the difference between a limited registration and full registration?
(   )Yes (   )No

 28.Do you understand this dog is not being sold to you with breeding rights?______________

29. Are you willing and able to send us updated pictures of puppy monthly so we can monitor the growth and development of said puppy ? YOU MUST HAVE A CELL PHONE THAT CAN RECEIVE  AND SEND PICTURES. YES__


30.Are you okay with us using your puppy's picture on our website or other social media?  YES___ NO___

 31.Are you willing to use our kennel name on the puppy's AKC papers?

as it will appear on the AKC form, There will be no added names. YES___NO__


Thank you for your time in answering our questions candidly. Your answers won’t be the only factor in determining whether any of our puppies should go home with you. We’ll reach out to you about how we’ll move on with the process of your search for a dog as an addition to your family

     If you have any questions kindly reach out to us.

           717-361-0420  **** This is our land line, we can not receive text messages.  

bottom of page