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Potential Puppy Buyer Questionnaire
Name :
Address :
City :
State :
Zip: :
Home Phone :
Work Phone:
Email :
Occupation:
Age: Under 20 21-30 31-40 41-50 51-64 Over 64
________________________________________
How did you hear about us?
Have you ever owned a Yorkie before?
When?
Bought at what age?
List problems if any with your Yorkie...
At what age did your Yorkie die?
Cause of death or reason for euthanasia, placement, sale, etc. Explain...
Have you owned or housed a dog with a communicable disease such as parvo etc. or suspected to be such and if so,
when?
________________________________________
Why have you decided to purchase a Yorkie?
Do you prefer a... Male Female Undecided
Do you have a color preference and if so, what?
________________________________________
For what purpose(s) are you purchasing a Yorkie ...(Rank all that apply by number)
Family Pet Obedience Show
Other (explain):
________________________________________
Have you ever shown in conformation?
Do all family members want a new puppy?
Do you have young children?
If "yes", what are their ages...
Who will train the puppy?
Who will be in charge of the puppy's care?
Do any family members have allergies to dogs?
________________________________________
Do you... Own Rent
Do you live in a... House Apt
Urban or Rural
Other comments
________________________________________
Where will your Yorkie be kept during the day?
House Dog run with doghouse Yard with doghouse Combination
Other (explain):
________________________________________
Where will your Yorkie be kept at night?
House Dog run with doghouse Yard with doghouse
Other (explain):
________________________________________
Do you have a securely fenced yard?
Kind, Height and Size
Is it adjacent to the house with an entrance to the house?
Do you have a kennel run?
Do you own a crate?
Are you willing to provide us pictures of your fenced yard & living quarters that your new dog will be a part of if asked to
do so?
________________________________________
Have you ever completed an AKC title in...
Obedience
Breed
Agility
Tracking
Other
Please list titles
________________________________________
What type of personality are you looking for in your puppy?
________________________________________
Are you willing to spay/neuter this dog?
If not, why?
________________________________________
Do you currently own any other dogs?
If yes, please list breeds, sex and ages
Do you own other pets?
If yes, what type(s)
Have you ever owned a small breed of dog before
Have you ever had a litter?
How many?
What breed or breeds?
Was the breeding planned?
For what purpose was the litter?
Have you ever had a dog euthanized?
If yes, why:
________________________________________
Are you committed to care for this dog's needs for his lifetime?
________________________________________
Are you willing to give the dog the extra care that a Yorkie requires? Grooming, regular vet exams, etc?
Do you understand a Yorkie requires and demands a great deal of contact with family and people?
Do you currently have a veterinarian and if so whom? Provide name, business name, address and telephone number.
How do you plan on caring for the grooming of your Yorkie? Do you have a groomer chosen, and if so whom? List
name, business name, address and telephone number.
If you plan on grooming yourself, how did you learn to groom?
________________________________________
Are you willing to sign a written contract prior to purchase?
________________________________________
When shipping a puppy, weather conditions, flight duration and connections all play a part in when we can ship a puppy.
Dogs are not baggage. Air travel should be taken seriously! Exposure to excessive temperatures will be avoided at all
cost (work and personal schedules included). If you purchase one of our dogs, are you prepared to make last minute
changes in work and personal schedules to allow pick up at the airport at a time that is in the best interest of the puppy?
Yes No
________________________________________
List 3 references including name, address, email, phone, relationship to you, years known:
________________________________________
Additional comments or concerns:
The purpose of this buyer questionnaire is to screen applicants to prohibit sales to
"puppy mills". We also need to verify that the future dog owner is prepared to
undertake the task of owning and caring for our puppies. One out of every four dogs
in shelters now are purebred, so we strive to reduce the impact of our kennel on the
overburdened shelters within America. If at any point a buyer feels that they can no
longer care for the yorkie for reasons other than those listed in the Health
Guarantee, we will take back that yorkie upon request.
"puppy mills". We also need to verify that the future dog owner is prepared to
undertake the task of owning and caring for our puppies. One out of every four dogs
in shelters now are purebred, so we strive to reduce the impact of our kennel on the
overburdened shelters within America. If at any point a buyer feels that they can no
longer care for the yorkie for reasons other than those listed in the Health
Guarantee, we will take back that yorkie upon request.