****** Puppy Questionnaire*******

 

 

As a breeder of Chihuahuas, it is my responsibility to make sure that a puppy that I have bred be placed in the most appropriate environment, as such, I would ask you to complete the following questionnaire to give me a better idea of your family, your lifestyle, and how a puppy will fit into it. Our breeding program is centered around the betterment of this versatile breed and the promotion of responsible dog ownership. Purchasing a puppy is not something that should be done on a whim but should involve much research and planning. Be prepared to assume the financial responsibility of care for a puppy including inoculation, vet care, good quality food, and licensing, etc. Please complete the questionnaire with as much detail as you can. Any questions left unanswered will not automatically disqualify, but will hinder my responsibility as a breeder to match the best puppy to your situation.

Though some of the questions may be considered highly personal, please be aware this
questionnaire is highly confidential and that no one but AKC Texas Diva Chihuahuas will see the results of the questionnaire. If you wish to send an email with your answers you may send your email to:

marcuccino@aol.com

Name: _______________________________________________________________________
Address: ____________________________________________________________________
City, State/Province, Country: ___________________________________________________
Telephone (evening & daytime): _________________________________________________
Email: _______________________________________________________________________
Date _______________________________________________________
Names and ages of all people (adults & children) living in your household _____________
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If you have children, what has been their experience with dogs _______________________
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Are you interested in a male or female puppy? Why? _______________________________
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Would you consider the opposite sex if it is a better match for your family? Yes __ No ___
What do you expect the activity level of the

Chihuahuas

to be:
Very high _____ High _____ Moderate _____ Below average _____
Who will be the primary care giver? ______________________________________________
How did you learn about Diva Chihuahuas? __________________________________________
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Describe your personality and your family’s: ______________________________________
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Does anyone in your family have allergies? Yes _________ No __________
Have you ever owned a dog? If so, what breed(s): _________________________________
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Do you still have the dog? If not, why: ____________________________________________
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Have you ever had to euthanize a dog? If so, why: __________________________________
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Have you ever had to take a dog to a shelter or pound: If so, why: _____________________
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Have you ever returned a pet to the breeder? If so, what were the circumstances?
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What circumstances, in your mind, justify getting rid of a dog? _______________________
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Where did you get your previous or current dog(s)? Check all that apply:
Breeder ____ Pet store ____ Breed rescue ____ Shelter ____ Stray ____ Gift ____ Other ____
Do you have any other pets? If so, what kind? _____________________________________
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If you have other animals, how are they going to adjust to the new addition ____________
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Do you currently have a veterinarian? If so, what is the name/clinic/telephone number,
and may I contact them for a reference?
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How did you decide that you wanted a Chihuahua ? ______________________________
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Do all family members want a Chihuahua ? Yes _____ No _____
What is your interest (mark all that apply):
Show/conformation ___________ Performance/ obedience/ agility __________
Breeding __________ Pet/ companion ____________
Have you ever raised a litter of puppies? If so, what breed? __________________________
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With regard to grooming, please complete the following: I think Chihuahuas require:
Daily brushing __________ Weekly brushing __________
Grooming (bathing and drying) more than every 6 months ______________________________
Grooming 2X per year __________ Don’t know __________
Previous dog training (if applicable):
I personally trained my dog __________ A personal trainer trained my dog ________
I took my puppy to puppy kindergarten __________
I took my puppy beyond puppy kindergarten __________
I train for obedience trials _____ conformation _____ agility _____ other _____
I don’t believe in dog training _____
How do you plan to contain your puppy while it is outside:
Kennel run (existing) _____ Kennel run (will build) _____
Hidden fence _____ Tether, chain or rope _____ Fenced yard _____
On leash only ____ No restraint – run loose _____
Is anyone at home during the day? _______________________________________________
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Will there be someone available to feed and exercise the puppy during the day? ________
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Where will the puppy sleep at night? _____________________________________________
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When you are on vacation, who will take care of the puppy? _________________________
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When the puppy is traveling in the car, how will it be contained? _____________________
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Do you have a pool? Yes, we have a pool and it is fenced _____ not fenced_____
We don’t have a pool _____
Complete the following: I am looking mainly for an:
Inside dog _____ Outside dog _____ Both _____
If you are purchasing a pet/companion dog, will you agree to sign a contract stating that
the dog is to be spayed/neutered and will not be used for breeding purposes?
Yes __________ No __________

Details about your family’s residence(s):
City/house _____ City/ apartment _____ Suburb/ house _____
Suburb/ apartment _____ Country house (less than 1 acre ) _____
Country house (more than 1 and less than 3 acres ) _____
Country house (more than 3 acres ) _____ Condo _____Cottage _____ Other_____
Are you planning on moving in the near future? Yes ______ No ______
Do you enjoy going for walks: How long ___________________________________________
How often ___________________________________________
Describe a typical weekday:
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Please tell me a little bit about what you are looking for in a Chihuahua, and what type
of activities you would likely be pursuing (coach potato, jogging companion, a buddy for
the kids, etc.):
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