Puppy Questionaire

Baxterbred Cavalier King Charles Spaniels

Please fill out the form below and we will contact you as soon as possible once we receive your questionaire. Thank you!
All questions marked with an asterisk * are required.

Date
*Full Name:
*Address:
*City:	State: Zip:
*Phone:
*Email:

1. Are you primarily looking for a
young puppy (12 weeks-6 months) or an
adolescent puppy (6 months-1 year)?

2. Would you be interested in an adult or older dog?
Yes No Maybe

3. Have you ever owned a Cavalier King Charles Spaniel? Yes No

4. If yes, from whom did you obtain it?

5. If you no longer have it, what happened?

6. Was or is it a Male Female. What color?

7. What made you decide to explore purchasing a Cavalier King Charles Spaniel?

8. Do you prefer a Male Female. Why ?

9. What color do you prefer?
Blenheim (red & white) TriColor (black & white with tan markings) Ruby (solid red) Black & Tan

Why?

10. Do you have any other pets? Please list their name, breed, age, sex and whether they are spayed/neutered.

11. Please list any prior dogs, breeds owned and why they are no longer with you.

12. Do you have children? If so, please list their names and ages and their experience with dogs. If you don't have children now, do you plan to in the near future?

13. Were there ever any problems between your children and dogs?

14. Do you have a fenced in yard (including invisible and wireless fences)?

15. Will your Cavalier be kept in a certain area?

16. Have you ever crate trained a puppy? Yes No

17. What time periods during the day will your cavalier be left alone?

18. Are you aware of the interaction needs of a cavalier, and do you feel you are capable of providing for these needs?

19. Please list any other breeders you are communicating with currently or who you have worked with in the past

20. What type and how much studying have you done on Cavaliers and/or other dogs?

21. Please list the health problems that you are aware of that cavaliers can be afflicted with. Which is your biggest concern?

22. Are you willing to allow the breeder to request and pay for health testings to be done annually to gather information for the future breeding of cavaliers?
Yes No

23. Please supply your vets name and contact information and permission to contact for a reference.

24. How did you hear about Baxterbred Cavaliers?

25. Do you rent or own your home?

26. If renting, does your Landlord agree with you acquiring a dog?

27. If you rent, please list your Landlord's name and phone number.

28. Does anyone living with you have any allergies to pets?

29. Do you understand that spaying and/or neutering is required as part of the contract? Any concerns about this?

Any other info you would like to share?

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Thank you for taking the time to answer these questions. It does not obligate either you or me. It is my hope that it will help in our communications thereby placing the right personalities together for the most successful family match.

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