Questionnaire

As Golden Retriever breeders we aim to place our puppies in caring family homes. The questionnaire will provide basic information about your household, family structure and whether you plan to be involved in any of the formal dog activities, as well as the usual family walks and recreation. Answering the questions will help you consider the various attributes of the breed and the suitability of your home where puppies will be given affection, exercise, stimulation and at least basic training.

In order to discuss your answers to the questionnaire and our plans for a litter, you will NEED to telephone me on 98987192 or 0411462730 and ask for Wendy. This discussion will be helpful in determining a place on our waiting list.

We look forward to hearing from you.

Wendy and Ian

---

---

Contact Details
	Given Names	Family Names	Relationship of person 2 to person 1
Responsible Person 1:
Responsible Person 2:
Other Adult 1 (+18yr):
Other Adult 2 (+18yr):
Other Adult 3 (+18yr):
Age and names of all children living at home
phone (home):
phone (mobile):
email:

Street Address:
Suburb:
State:
Current dog(s)
Age, breed and gender #1:
Age, breed and gender #2:

Have you owned a Golden Retriever before ?	Please Choose yes no
Have you trained a puppy before?	Please Choose yes no
Do you have at least 1 hour to regularly train a puppy each week?	Please Choose yes no
Have you ever belonged to a dog club ?	Please Choose yes no
Do you have a preference for a male or female puppy?	Please Choose either a male or a female a male a female
Where are you going to keep the dog ?	Please Choose flat villa unit house property
Please indicate if you would be interested in being involved in any of the following activities	Showing Breeding Tracking Agility Puppy school Obedience training
How keen are you to show your dog ?	Please Choose Not at all Possibly Very likely Definitely
How often do you plan to walk your dog ?	Please Choose Weekly Twice a week Daily Twice Daily
Do you plan to join a dog obedience club?	Please Choose yes no
On average, how many hours each day will the dog be at home alone?	Please Choose 16 hours 12 hours 10 hours 8 hours 6 hours 4 hours
This space is provided so that you can tell us about your lifestyle and your commitment to owning a Golden Retriever. Goldens will not be happy if they are left alone for long hours and as social animals, the time you can give to walking, training and socialising your dog is of critical importance to us.