| Name:
|
| Street
Address:
|
|
City
|
|
| State:
|
Zip Code:
|
| Phone:
|
What kind of vehicle do you
drive |
| Email:
|
|
| Number
of People in the household |
|
| Do you
have a Fenced Yard? |
|
| If you
do not have a fenced yard how do you plan to exercise
your puppy? |
|
| Please
describe the environment in which the puppy will live.
|
|
Do
all members of the household like dogs? |
|
Is
anyone in household allergic to dogs? |
|
Have
you ever owned a dog before? If so, what
Breed? |
|
Have you ever had a bad experience
with a dog? |
|
How did you learn about Bernese Mountain Dogs and why do
you wish to own one? |
|
Are
you aware of the health/breeding problems? |
|
| Do you
plan to breed? |
|
| Do you
prefer Male or Female? |
|
Please explain preference:
|
|
If we do not have your
preference would you take either sex? |
|
|
Do you want a
Show/Breeding Potential puppy? |
|
|
Do you want a pet
puppy? |
|
|
If we do not have your
preference of pet or show would you take the
other? |
|
|
Would you be
interested in showing if we sold you a show
pup? |
|
|
What kind of
personality are you looking for in your puppy? |
|
|
How do you plan to
train/socialize your puppy? (puppy
kindergarten/obedience and house train act.) |
|
|
Please list name,
address and phone number of your veterinarian and also
personal references. |
|
|
Owner input is critical
if a breeder is to keep track of the quality of his
breeding program. Would you be willing to keep in
contact with us? |
|
|
Finally is there
anything else you would like us to know for our review
of your questionnaire? |
|
