White Gold Samoyeds Questionnaire
Before acquiring a new puppy, thought needs to be given as to how the puppy will fit into your lifestyle, home and family. This questionnaire is designed to help you make important decisions prior to purchasing a puppy and to assist us in placing the right puppy with you. This will enable me to match each puppy with the proper home based on the prospective owner's lifestyle and environment and on the puppy's personality and abilities. With this in mind, please answer all questions with as much detail as possible. All information is strictly confidential and will be used only by us. Samoyeds do not do very well in an apartment setting. Thank you for your interest.
* Required fields
Name: *
Email Address: *
Address: *
City, State, Zip: *
Home/Cell phone number: *
Work phone number:
Best Time and place to reach you:
Occupation:
Do you prefer a male or female? No Preference Male Female
Why?
Why have you decided to purchase a Samoyed?
For what purpose are you purchasing this puppy? (Family Pet, Companion?)
Are there other animals in the home? Please Select Yes No
Please describe pets other then dogs you presently own or have owned in the last 5 years. - (Names, species, ages)
Children (please list ages):
Are ALL Family members in agreement on getting a Samoyed Puppy? Please Select Yes No
Do any family members have allergies to or fear of dogs? Please Select Yes No
What leisure activities and hobbies do you and other family members enjoy?
Who will be the primary caretaker?
Is this person aware of the time and endless energy needed to care for a young puppy and willing and able to accept that responsibility? Please Select Yes No
Will the cost of raising and caring for this puppy fit comfortably into your budget? (Initial puppy shots, monthly heartworm medication, annual booster vaccinations, crate, bedding, food, toys, grooming products, spaying or neutering). Please Select Yes No
Are/Were your present or past dogs spayed or neutered? Please Select Yes No
If not why?
Are your present dogs kept on heartworm preventative year round? Please Select Yes No
Are you committed to caring for this dog for his/her lifetime? (Average life span is 11-14 yrs) Please Select Yes No
What would cause you to have to give up the dog?
Who would care for the dog for the remainder of it's life if you were no longer able?
Do you own or rent? House, Condo, Apartment, Other? Rural, Suburban or Urban Area?
Where will your puppy be staying during the day? At night? While you are away from home?
How many hours a day would the dog be left alone?
Do you have a fenced in yard? Please describe it if you do.
What type of outdoor facilities do you have? Securely fenced yard, kennel run. Invisible fence. Dog house or other adequate shelter from the elements?
Do you padlock your gates (If applicable)? Please Select Yes No
Do you plan to use a crate for Housebreaking? Please Select Yes No
If not, what other method do you plan to use?
Are you willing to obedience train this dog through training classes in order that he/she will become an enjoyable companion and canine good citizen? Please Select Yes No
Do you have experience in any of the following areas? training, showing, breeding, pet therapy work, agility, other. (Please describe, including any titles or achievements earned, number of litters whelped or just general information about other dogs you have owned?
All puppies sold as companion/pet dogs require a mandatory spay/neuter contract that you must sign. No exceptions. Do you agree to this? Please Select Yes No
Have you ever euthanized a dog? Please Select Yes No
If so, for what reason?
Last, but not least, please describe what type of personality you are looking for in your Samoyed (as an adult dog) and the type of family environment in which he/she will be living:
Please list the name, address, and phone number of your veterinarian for your present pets or pets you have owned in the last 5 years.:
Please use this field for additional information or comments that you feel are important.
My apologies for the length of this questionnaire but I feel this type of information is very important in choosing just the right puppy for you. Thank you for taking the time to complete it.