Puppy Questionnaire

Your full name::*

Your email address: (e.g.: you@yourhostname.com)::*

Your complete address::

Your phone number (with country, city, area codes): :

Occupation::

Average hours worked weekly:

Number of adults in your household?:

Age:
18-25
26-35
36-45
46-55
56+

Number of hours that someone is home during each day (include yourself)? :

Number of children and their ages in your household? :*

What member of the family will be taking the major responsibility for raising a new puppy?:*

What type of area do you live in?:
City
Country
Suburban

What type of housing do you live in?:
Apartment
Condo
Farm
House
Townhouse

Where will your Bulldogge live? ::
Inside
Outside

How much time will your dog spend alone in one day?:

Do you have enough time in your day to devote to a puppy?:
yes
no

How much time in one day are you willing to devote to a dog?:

Do you have enough time in your day to exercise a puppy?:
yes
no

Do you have a fenced yard?:
yes
no

If no, where will the puppy be exercised and be allowed to eliminate? (Please explain):

What are the major activites , hobbies, or exercises you and your family most participate in?:

Is this your first dog?:*
yes
no

Is this your first Olde English Bulldogge? First bulldog?:*

Do you have anyother animals living in your house? If yes, what breed/types and how many?:*

What do you know about Bulldogges as a breed? What do you find attractive about them?::

How did you hear about All Juiced Up Bulldogges, and who referred you to us?:

Do you have a preference of what sex of puppy you get?::*
yes
no

If yes, what is your preference and why?::

Are you willing to sign and abide by a contract that includes things such as registration?:*
yes
no

Would you take this puppy to obedience classes? ::
yes
no

What are your plans and goals for this puppy? Show? Working? Companion? ::

Do you believe in dog crates?:
yes
no

Would you ever consider getting you pet health insurance? ::
yes
no

Anything else you would like to include? ::

I certify that the above information is correct and true. E-Signature: ::

Please type the text below: