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Long Lane Welsh
4 Douglas Street
Brunswick, ME 04011
902.698.7668
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Long Lane Welsh
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Questionnaire
PUPPY QUESTIONNAIRE
Name
*
First Name
Last Name
Email Address
*
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
For what reason have you chosen the Welsh Spaniel?
*
For what purpose(s) do you want a Welsh Springer?
Pet/Companion
Showing
Obedience
Agility
Hunting
Therapy
Other
Desired Gender
Male
Female
Either
Have you ever owned a dog before? If so, what kind? How old was it when it died? What was the cause of death? Do you have any pets now?
Describe the composition of the family with which the dog will live. Adults, ages, and genders of children. Are any of the family members reserved with dogs?
Do any family members have asthma or allergies?
Describe your living arrangements (single family home, townhouse, apt.)
Do you have a fence? Is it a complete enclosure? How tall is it?
How do you plan to exercise your Welsh Springer?
In what rooms will our dog be permitted? Do you have plans on how to keep the puppy out of certain parts of your home?
Where will you dog sleep?
How many hours each day will your Welsh be left alone?
Where will the dog stay when you are not at home?
Are you familiar with crate training? Would you be willing to purchase and use a crate?
*
How often do you go away for mini and major vacations?
*
Who would care for the dog when you are away from home on vacations and it cannot accompany you?
Do you have a veterinarian?
His/her name and phone number
References (please list two). These could be good friends, neighbours, vets.,
Names, phone numbers and/or emails.
Will you cooperate with the terms of agreement of sale by having your dog tested at age two to determine the status of the dog's hips and elbow joints, eye and thyroid health?
*
Health Information on ALL the puppies in my litters help me to continue to breed Welsh Springers with minimal risks of inherited diseases, and is also a valuable resource for the health committee of the Welsh Springer Spaniel Club of America.
Yes
No
Thank you!
