JAAD Puppy Questionnaire
Thank you for your interest in one of our Golden Retrievers. By answering the following questions thoughtfully and thoroughly, you will help us to determine whether a Golden Retriever is the right breed for you and which puppy will be best suited to your family (i.e. temperament/activity).

Any personal information will NOT be given out to 3rd parties. The information is for internal (JAAD Kennels) use only.

NOTE: If you do not hear back in 24-48 hours, please contact us directly.
Sign in to Google to save your progress. Learn more
Full Name: *
Street Address *
City and Province/State *
Postal Code *
Home/Cell Phone #: *
Alternate Phone #:
Primary Email Address: *
Number of adults in your household: *
Please list the names of all adults living in the home.
Number of children in your household: *
Please list the age of each child:
(and if you are comfortable doing so, we would love to know their names as well)
Do you own or rent your home? *
If you rent, is your landlord aware and in agreement with a puppy living in your home?
Clear selection
Do you have a fully fenced yard? *
If yes, what type of fence (chainlink, wooden, invisible, dog run)?
What height is the fence?
If no, what precautions do you intend to take to safeguard your puppy/dog?
Does anyone in your family have allergies to dogs? *
Does anyone smoke in the home? *
Would you prefer a male or female? *
Are you willing to accept the opposite sex if your preferred choice is not available? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy