Puppy Questionnaire

Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

Are you looking for a Boxer?

8wks-12months(Puppy)  1yr - older (Adult)

Are you interested in a show prospect?

Yes No

Are you interested in a male or female?

Male Female

Are you interested in a Fawn or Brindle?

Fawn Brindle

Are you interested in a flashy or plain?

Flashy Plain

Family Status:

Single Married

Children: Yes No
 Ages of children : ex (10, 16)

Type of home:

Rent:
           Landlords Name: Phone:

Own:
           Size of Yard: Fenced:
           How long have you lived there?

Have you considered the costs involved in caring for your dog? Food, vet bills, vaccinations, licenses/fees, and training classes as well as equipment: cares etc.

Where will the puppy be kept during the day?.

Where will the puppy be kept during the night?.

How many hours will the puppy be left alone?

Have you ever owned a Boxer before?

Yes No

Do you have other pets in the house?

Yes No      

  If yes please list 

Have you ever given a pet away for any reason?

Yes No

   If yes please list 

Have you been referred by anyone to Sassy Boxers?

Any additional information that I would need to know in helping me place a puppy with you?

If considered for placement, are you willing to put down a deposit?

Yes No

Are you willing to sign a spay/neuter contract if purchasing a White Pet Boxer?

Yes No

I read and understood this questionnaire. Please type your name and date this form.

    Date:  -- mm/dd/yy