Puppy Visit Information Details
Please fill out the form below and submit it to us. Give as much accurate information as possible. By filling out this form you are giving me permission to contact you using the details you have given on this form. I will email you to confirm receipt of the form, any follow up questions I may have and payment details. I may also contact you via the phone number you have provided. Please ensure all details are correct and up to date.
* Required
Name
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Your answer
Email
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Your answer
Address
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Your answer
Phone number
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Your answer
Name of dog
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Your answer
Breed of dog
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Your answer
Age of dog
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Your answer
How many puppies were in the litter
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Your answer
Did you see the parents with the litter mates
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both mum & dad plus puppies
only mum plus puppies
only the puppies
only my puppy
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Where were the puppies reared
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separate living quarters away from house
in the home
Other:
Required
What age did you bring your puppy home
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Your answer
Who does your dog live with (adults, children, other pets. Please include ages of children)
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Your answer
What do you feed your dog? Please include brand of food, times of day when fed & where they are fed.
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Your answer
How does your dog react to guests & strangers. Is their reaction the same when outside? If no please describe in "other"
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jumps up
nervous, hides
happy to see them, wags tail
barks, runs away
barks, runs towards them
bites or lunges
Other:
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How does your dog react to other dogs
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happy to see them, wags tail, sniffs & walks away
nervous, hides behind owner, doesn't want the other dog to interact with them
confident, not bothered with interacting with other dogs
constantly wants to play with other dogs
barks, runs away
barks, runs towards
lunges, growls, snaps, bites
Other:
Required
Please describe a typical day for your dog. Including exercise, play, sleep, feeding etc
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Your answer
What behaviours do you like BEST about your dog
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Your answer
What behaviours do you like LEAST about your dog
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Your answer
Are there any specific issues you would like help with?
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Your answer
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