QUESTIONNAIRE FOR POTENTIAL PURCHASERS
1. How did you hear about Lil Darlin's?
Advertisement ____________________________________________
Friend___________________________________________________
Referral
Who: ___________________________________________________
Breeder Directory _________________________________________
Other
List: ____________________________________________________
2. Which is your preference? ______ Male
_____Female
3. What color preference do you have? ____Black & Rust
____Black & Tan
_____ Red _____ Stag Red
_____ Chocolate
4. Would you consider another color preference if your first color preference is not available?
If Yes Color? _________________________
5. For what purpose(s) are you interested in a Miniature Pinscher? (Multilple answers are okay.)
____Family Pet
____Conformation Competition
____Competition (obedience, agility, utility, etc)
____Breeding
____Other, please list: _______________________________________________
6. What type of registration do you want your puppy to have?
____Full AKC Registration
____Limited AKC Registration (spay/neuter contract required)
7. Have you spoken to any other Miniature Pinscher breeders? _____Yes
_____No
8. Are you currently on a waiting list/reservation list for any other breeder?
_____Yes _____No
9. Do you have children under the age of 6?
If Yes, List ages:
10. Are your children (if any) good with pets? _____Yes _____No
11. Do you rent or own your residence? _____Own
_____ Rent - Are pets accepted? _____ Yes
_____ No
12. Do you have a fenced in yard? _____Yes
No. List how you will provide for you puppy while it is outside or you are
away. ___________________________________________________________
________________________________________________________________
13. Is someone home during the day or able to get home to "potty" the puppy/dog?
_____ Yes _____ No
14. Where will the puppy/dog spend the day?
_____ Outside, in the yard
_____ Indoors (free roam or confined to a certain area)
_____ Indoors (crated)
_____ Kennel Environment
_____ Other, please list:
___________________________________________
15. Will this puppy/dog have regular contact with it's family during the day?
_____Yes _____No
16. Where will the puppy/dog spend it's evenings?
_____Outside, in the yard
_____Indoors (free roam or confined to a certain area)
_____Indoors (crated)
_____Kennel Environment
_____Other, please list:
___________________________________________
17. Will this puppy/dog have regular contact with it's family during the evening?
_____Yes
_____No
18. Where will the puppy/dog sleep?
_____Outside, in the yard
_____Indoors (free roam or confined to a certain area)
_____Indoors (crated)
_____Kennel Environment
_____Other, please list:
19. Are you willing to attend group or individual training classes with this puppy/dog?
_____Yes _____No
20. Have you ever owned a Miniature Pinscher?
_____Yes, own one (or more) now
_____Yes, in the past
_____No
21. Do you own any other pets?
_____No
_____Yes, please list
______________________________________________
22. Have you owned pets in the past?
_____
No
_____
Yes, please list ______________________________________________
23. What has become of any pets you have owned in the past? (i.e. death: circumstances, given
away: reason, sold: reason, given to shelter or rescue: reason, etc) Please be as specific as possible.
___________________________________________________
__________________________________________________________________
24. Who will have primary responsibility for the care of this puppy/dog?
___________
25. Do all family members agree on the addition of a Miniature Pinscher to the family?
_____Yes
_____ No
Why?________________________________________________
26. Do you agree to abide by all conditions in our basic maintenance agreement?
_____Yes
_____ No
27. What type of personality are you looking for in your puppy/dog?
______________
__________________________________________________________________
28. Please list the name, address and phone number of your vet or a vet that has
worked with you in the past. (also list email address if applicable.)
_________________________________________________________________
_________________________________________________________________
29. Please list the name, address and phone number of a personal reference that we can contact.
(Also list email address if applicable.)
________________________________________________________________
________________________________________________________________
________________________________________________________________
30. Please give us any other information you think will help us get to know you and your needs with
respect to placing a puppy/dog most suited to your family/lifestyle.
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
NAME: _____________________________________________________________
ADDRESS:___________________________________________________________
PHONE:_____________________________________________________________
EMAIL: _____________________________________________________________
COMMENTS OR
QUESTIONS: ________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
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