Placement Questionaire - created by KITS Computers

Placement Questionnaire

This form must be completed before a visit is scheduled. Your responses will be used to help make the best possible match of a puppy or adult dog with your family members, home and lifestyle.

Name: *
Spouse - Other:
Address: *
City: *
State *
Zip *
Home Phone *
Cell Phone: *
E-mail *
Is this your first Lab? *
If NO, where did you get your first Labrador?: *
How many years has it been since you have had a puppy in the home?: *
Tell us why you want a Labrador: *
Please list families hobbies the puppy would participate in: *
What is the most important criteria to you in selecting a puppy?: *
Please explain: *
What is your FIRST choice for COLOR/SEX? *
What is your SECOND choice for COLOR/SEX? *
Your residence: *
Where will the dog stay during the day: *
Where will the dog stay during the night: *
Yard & Exercise Area: *
What is your opinion of crate training?: *
Who will be the primary care giver?: *
How many hours a day will the pup be left alone?: *
*

A child is ready for a young puppy when they are coordinated enough to push the puppy away and the puppy can understand the gesture. Until then, an adult Labrador may be a good choice for toddlers or very young children.'

How many children live in the home?: *

Any known allergies to dogs? If yes, please explain: *

Have any of the children been frightened or bitten by a dog? If yes, please explain: *

Please list the dogs and cats in your home and indicate if they are spayed or neutered.: *

Name and phone number of your Veterinarian: *