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Questionnaire

Specializing In Breeding For Over 50 Years!

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Interested Clients are Encouraged to fill out a puppy questionnaire, following submission, we will follow up with you soon!

Puppy Questionnaire

Please fill out the following questionnaire regarding any interest in puppies or adult dogs. All questionnaires are reviewed within 24 hours of submission. Thank you!

First Name

Last Name

Email

Address- Street, City, State, Zip Code

Phone

Why do you want a dog?

Show

Obedience

Breeding

Companion

Other..

Which would you be most interested in?

Female Puppy

Male Puppy

Adult Male

Adult Female

No Preference

Are you interested in a particular litter/breeding?

What qualities do you like most in a dog?

What qualities do you dislike most in a dog?

Do other family members approve of this breed selection & decision to get a dog? *

Yes

No

Are you familiar with the potential health problems in this breed? *

Yes

No

Why did you choose this breed?

Is this your first dog? If not, what other breeds have you owned?

Do you have any other pets now? If yes, what types?

Tell us about your living arrangement.

Urban

Rural

Other..

Do you work?

Full-time

Part-time

Other..

Do you rent or own? *

Own

Rent (must provide proof landlord allows dog on property)

Other..

Is anyone home during the day?

Yes

No

Other..

Do you have a yard? If so, what size?

What are the estimated hours the dog would be left alone every day?

Do you have any children? If so, please list how many and their ages.

Are you purchasing this dog for yourself or another person? *

Myself

Another person

Other..

Is the dog allowed in the house? *

Yes

No

Other..

What methods do you have to restrain a dog to your property? (i.e. kennel run/fence/chain)

Where is the dog expected to sleep overnight?

Do you intend to take this dog through obedience/training classes? If yes, where?

What books/other forms of knowledge do you have on dogs?

Are you willing to spay/neuter? If no, please explain why. (Please note all puppies sold are bonded in a spay/neuter contract).

I agree that I completed this form truthfully and honestly about the potential, future ownership of a dog from Jenda Kennels.

Thank you for submitting!

"My clientele is not only nationwide, but abroad too! Countries such as Italy, Japan, Canada, Norway and the Ukraine!

Please feel free to contact me regarding Professional Handling, upcoming litters or any other inquiries." - Jeni W.

Thanks for submitting!

© 2023 by Circle K Performance

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