SANRICK BOUVIERS
Puppy Questionnaire
 
Thank you for your interest in our dogs. Please take a few minutes to fill out our easy form to help us determine if a Sanrick puppy is right for you. These questions will help us be sure that you will be getting a puppy that you are happy with and help us the right puppy / dog for you. It is also to help me be assured that my puppies will be going to good homes. All information is confidential and used only by us. Thank you for your cooperation and help in answering our questions. 

 
Do not press the ENTER key until you are finished 
filling out the form.

To move to the next field in the form use your mouse or TAB key.
Name(s)
Address 
City
Prov/State
Postal/Zip Code
Country
Phone # Home Phone # Work 
Fax #
Email
Best time to call if we have to reach you ?
How were you referred to us ? 

PUPPY INFORMATION
 
Are you interested in a: Puppy  Adult dog 
Male  Female  No preference 
If that sex is not available would you consider the other? Yes   No 
Colour desired Black  Brindle  Grey  Fawn  No preference 
Why are you interested in obtaining one of our Bouvier des Flandres? 
Family Pet  Show  Obedience 
Herding  Agility  Breeding 

When are you looking to purchase a puppy?

 

DOG INFORMATION
 
Have you ever owned a Bouvier des Flandres ?  Yes  No 

If yes, from whom did you get that Bouvier from

Why have you decided to buy a Bouvier?

Have you familiarized yourself with the characteristics of the Bouvier?  Yes  No 
If not, please click on this  LINK to read more about the breed
Have you previously owned dogs ? What breeds ?  Yes  No 

If yes, what happened to it?

Do you presently own a dog or other animals ? Please give breed, age, sex and spay/neuter status.

Have you ever given a dog up to a shelter, pound or rescue group, if yes please explain?

Have you ever had to euthanize a dog ? If so, why ? 

Have you ever bred a dog/dogs before? If yes please elaborate.
YOUR FAMILY INFORMATION
 
Are you ?   Married  Single

 Number of adults in your household? 
Age? 18-30 30-65 65+ 

Do you have children ? Ages ? 

Does anyone in your family have allergies to dogs?
Yes  No  Don't know

Is everyone in your family committed to getting an Bouvier?  Yes  No
If no, please explain?
Do you live in ? Urban  Suburban  Rural 
House Apartment 
Do you have a fence yard ?  Yes No 
If not are you willing to do this in the near future. 

 
 

YOUR COMMITMENT

Where will the dog stay during the day ? 

Where will the dog sleep during the night ?

Where will the dog be when no one is home - loose or crated, confined to kitchen, basement, garage, yard, kennel or other?

Are you committed to take care of this dog for its lifetime ?  Yes   No 

What would you do with the dog if you suddenly found yourself unable to keep it? (things do happen!) 

Are you be willing to go to obedience classes?  Yes  No 

Is each member of the household committed to disciplining the dog?  Yes  No 

Are you committed to have this dog spayed/neutered ?  Yes  No 

Do you have a veterinarian? If so please give name and address for a reference

Are you willing to follow the Health Guidelines supplied by Sanrick Kennels regarding shots, exercise and feeding?  Yes  No  Maybe If no or maybe please explain:

Have you reviewed Sanrick's contract and will abide by it?  Yes  No 

Are you willing to stay in regular contact with Sanrick Kennels for the life of the dog and provide updates?  Yes  No

Why a Sanrick Bouvier?

 

OTHER CONTACTS MADE

Have you spoken with any other Bouvier breeders? YesNo  If Yes, please list them below:

Are you currently on the waiting list for any other litters? Yes No

Were you referred to US by anybody in particular? Yes No   If Yes, please list them below:

Are you at all interested in being contacted about Rescue dogs or older dogs needing placement if we should come across a dog that we feel would suit your needs? Yes No

Please add any other information you wish us to consider in placing one of our Bouvier des Flandres with you. We would appreciate if you would give us a little insight into the expectations you may have for this new addition to your family.

 

REFERENCES

Please list several (at LEAST 3) references (veterinarian, person active in dogs or close acquaintance preferred). Please include a phone number for each reference (and e-mail address if possible):

     Reference 1:

    Reference 2:

    Reference 3:

    Reference 4:

PLEASE NOTE that incomplete questionnaires 
that are sent in *WILL* be deleted automatically!
Completing this form does not guarantee
a reservation or placement of puppy
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