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Questionnaire
Havanese Info
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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 or if you do not hear from us within 24 hours, please contact us directly.

* means required field

*Name:
*Full Address:
*Phone:
*Email Address :
1. Occupation (If retired what was your previous occupation?)
2. Is your home house of apartment?
3. Is your backyard enclosed and suitable for a dog?

4. Number of adults in household?

5. Number of Children
Ages of children
6. Do you own other dogs?
7. Ages and breeds of other dogs?
8. Are the other dogs spayed or neutered?
9. How many hours will puppy be left alone?
10. Why are you interested in this breed?
11. Do you own other pets? Please list.
12. Will you be taking the puppy for basic obedience training?
13. Do you prefer male or female or no preference?
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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