Puppy Questionnaire

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Puppy Questionnaire

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

How and why did you choose the PWD as the breed for you? *

Please list names and ages of all household members. *

Does everyone in your household want a puppy/dog? *

Yes No

If no, please explain. *

How soon would you like to add a PWD to your home? *

What best describes your pet interest? Check all that apply. *

Pet Performance (Water Work, agility, Obedience, etc.) Show Breeding

What are your preferences? Check all that apply. *

Male Female Curly Wavy Black Black/White Brown Brown/White Parti ( Over 50% white) No Preferences

What best describes your housing situation? *

Single Family Home Apartment Condominium Town Home

Do you have a yard.? *

Yes No

If yes, please describe. Size, fenced, not fenced, etc. *

Describe your lifestyle and general work hours. *

Do you currently have dogs or other pets in your home? *

Yes No

If yes, what type, sex, size, age and are they spayed or neutered? *

Have you previously owned pets that no longer live with you? *

Yes No

If yes, what happened to them and at what age? *

How did you hear about Maritimo Portuguese Water Dogs? *

Additional comments or questions *

Submit