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Puppy Questionnaire

If you are interested in adopting one of our puppies, please fill out this questionnaire and send to my email address by clicking the "Submit" button at the bottom of this page.

These questions are being asked so that we can determine the best placement of each puppy with it's new owner. There are no right or wrong answers. We feel that each situation is unique. Feel free to contact us if you have any questions. If you are having problems sending this form, please contact us directly.

* means required field

*Name:
*Full Address:
*Phone:
*Email Address :
1. Do you live in a Home, Apartment or Other? (please explain if Other)
2. If you rent, please provide landlord contact information and if landlord approves of having a dog.
3. On average, how long will the puppy be left alone?

4. Who will be responsible for the puppy?

5. Do you have a pool? If so, is it fenced? 
If not fenced, how will you make sure the puppy is safe?
6. Do you have a fenced backyard with a locking gate?
Please describe.
7. Where will the puppy be kept during the day?
8. Where will the puppy be kept during the night?
9. Which sex (male or female) do you prefer, and why?
10. Please list all other animals in the household, ages, sex, breed,
11. What is your timeframe for getting a puppy?
12. Tell us about you and your family, ie: married, single, children ages, etc
13. How did you learn about 'Ohana Havanese'?
14. What is the name, address and phone number of your Veterinarian? 
(If you don't have one, just write "none")
Will you agree to have your Havanese's eyes examined yearly and to register the results with CERF?
Yes: No:
All companion puppies will be sold on a spay/neuter contract. Do you agree to this?
Yes: No:
Do you have any questions for us?
(If you do, please write them in the area below.)

Thank you for taking the time to answer these questions for me. 
This will help me answer any questions you and I may have.

Please click the "submit button" to send your answers.



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