Contact Information |
Your
Name:
Street Address:
City
/ State / Zip Code:
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Daytime
Phone:
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Evening
or Cell Number:
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Email
Address:
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Questionnaire |
What
kind of puppy are you considering?
LONGCOAT Chihuahua
SMOOTHCOAT Chihuahua
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Which do you
prefer?
Male
Female
No preference
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What
do you plan for this puppy? (check all that apply)
Pet Only
Brood Bitch or Stud
Show |
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What
type of dwelling do you live in?
Apartment
Single Family House?
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Do you have
a fenced in yard?
YES
NO
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Do
you have a swimming pool?
YES
NO
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If you have
a pool, is it fenced in?
YES
NO
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Do
you work outside the home?
YES
NO
If so, how many hours?
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Do you go on
vacation often?
YES
NO
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Where
do you plan to keep the puppy while you are at work?
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Where
will the puppy sleep at night?
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What
do you plan on doing with the puppy when you go away on vacation?
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Do you have
any children?
YES
NO
If so, how many?
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What
are their ages?
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Are your children
afraid of dogs?
YES
NO
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Have
you ever owned a pet before?
YES
NO
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If
so, do you still have it and if not, why?
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What
is your family's activity level?
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How
do you plan on training your puppy?
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How
do you plan on potty training your puppy?
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Why
have you chosen this breed of dog?
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Are
you willing to tear up or remove plants or bushes that are toxic
to your puppy?
YES
NO
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How
much time do you plan on playing and exercising your new puppy?
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Are
you financially capable to take care of your puppy?
YES
NO
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How
much to you think it takes a month to care for your puppy financially?
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Are
you aware of this particular breeds possible health issues?
YES
NO
If so, name them:
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Should
your puppy become ill, what will you do?
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When
your puppy grows up, if he or she gets a costly illness would you
put her/him to sleep, or spend the money on veterinarian measures?
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Are
you aware of grooming practice for the breed you have chosen?
YES
NO
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Have
you researched the nature and habits of the breed you chose?
YES
NO
If so, what have you learned?
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Who
in your family wanted a puppy?
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Who
will be the puppy's primary caretaker, and what is this persons
age?
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Do
you agree to have your puppy vet checked 48 hrs. after purchase?
YES
NO
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Do
you agree to contact Trinity Chihuahuas & Goldens if at any
time the puppy isn't working out for the family?
YES
NO
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Do
you agree to feed the puppy the recommended food that is listed
below by Trinity?
YES
NO |
Have
you chosen a veterinarian that will be caring for your puppy's well
being?
YES
NO
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If
so, please provide the name, address and telephone number of that
vet?
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Do
you agree to have your puppy vaccinated and protected as advised
by your vet?
YES
NO
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Do
you agree to give Trinity Chihuahuas (Lisa) access
with your vet for the next year, to question vaccinations and care
of your new pet, if I so desire?
YES
NO
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Are
you aware of the amount of patience, love, time and motivation it
takes to train a new puppy?
YES
NO
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If
you have completed this application and would like to add any additional
info or comments, please do so here.
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Thank you for
filling out my questionnaire.
Hitting the SUBMIT button will send me your application.
Once I receive the application, I will review it and get back
in touch with you.
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