PUPPY QUESTIONNAIRE


Please provide the following information:

First Name:
Last Name:
Address:
City:
State:
ZIP Code:
Home Phone:
Cell Phone:
Email Address:
Emergency Contact Name:
Emergency Contact Phone:
Do you own or rent?
Own
Rent
Number of adults in the household:
Ages?
18-30
30-50
50-65
65+
Number of children in the household:
Ages?
Are you familiar with the characteristics of the Irish Setter?
Tell me a little bit about why you want an Irish Setter puppy.
Have you ever owned an Irish Setter in the past, or dog in the past? If yes, what happened to it?
Was the setter "pet" or "show" quality?
Are you receptive to a home visit by the breeder or person designated by the breeder in your area?
Are you interested in a male or female?
Male
Female
No preference
Do you currently have other dogs?
If yes, how many, what breed are they and what are their ages. Are they spayed or neutered?
Have you bred dogs in the past?
Yes
No
Are you interested in breeding?
Yes
No
Will the dog be a house dog or a backyard dog?
Where will the puppy sleep?
Where will the puppy stay while you are gone or at work?
How many hours a day will the puppy be left alone?
Who will be the primary care giver?
Is everyone in your family receptive to the idea of a dog? If no, please describe the situation.
How do you plan to exercise the puppy and adult dog?
Are you interested in any of the following activities? (Check all that apply.)
Hunting/field work
Show/conformation
Rally
Obedience
Therapy work
Agility
Do you plan on attending any puppy obedience/home manner classes?
Yes

What would you do with the dog if you found yourself unable to keep it? (Things do happen!)
Do you have a totally enclosed, safe backyard area?
Yes
No
How high is your fence and what materials is it made of?
Do you have a pool?
Yes
No
If yes, please explain in detail the fencing.
Are you willing to maintain contact with the breeder for the life of the dog? My experience thus far has been that my puppy owners have become good friends and we all share the common interest of the dogs. The breeder can serve as a mentor in many areas during the development of your Irish Setter?
Yes
No
Are you willing to follow Dublin Meadow Irish setters guidelines for health care protocol and other important issues?
Yes
No
Please provide 2 references, one being your vet.
Please tell me anything else you think is important for me to know about your family or desire to have an Irish Setter puppy.