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Heartland Golden Retriever Companion-Puppy Questionnaire
Your Name(s):
Street Address:
City, State, Zip:
Email address. Please be careful to enter it correctly so we can respond to your request.
Phone number where you can be reached.
Prefer evenings or days, or does not matter?
Are there other adults in your household?
Are there children in your household? If so, please list their ages.
Have you owned a Golden Retriever before? If so, please tell us about your Golden Retriever(s).
Tell us why you have decided that the Golden Retriever is the best breed for you.
How many hours a day will this puppy be alone? Please explain below.
What pets are currently living in your household?
Where will your puppy be living? Please mark all that apply.
With us indoors
Outside in kennel
Fenced in yard
Outside in Country Setting
Who will be responsible for training your puppy?
What are your plans for house training your puppy?
Will you be taking this puppy to training classes? Obedience training? Other activities?
Are you interested in showing this puppy in dog show events? Please explain below.
How do you plan on filling your puppy's needs for exercise. Check all that apply.
Fenced yard
Kennel
Home in country setting
Jogging partner
Large fields near by
Leash walking
Ball playing
Swimming
Other exercise you would like to mention enter below.
Are you a breeder?
Yes
No
Are you planning to spay/neuter this pet?
Yes
No
Would you prefer a male or female puppy?
Male
Female
No preference
Do you have a puppy/dog size preference?
Smaller
Medium
Larger
No preference
Do you have a golden color preference?
Lighter
Medium
Darker
No preference
Please enter below any temperment preferences you have for your puppy.
Would you like me to email you information about upcoming litters?
Yes
No
Are you interested in a well trained adult Golden Retriever?
Yes
No
If someone recommended you to us, please enter their name and phone number below.
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