By The Bay’s Questionnaire for prospective
Please complete the following information and return to me either via email attachment or regular mail. All information provided will be kept confidential.
Your street address:
Your city, state and zip:
Your e-mail address:
Best time and method to reach you:
You are looking for a puppy of what sex?
__ female, would consider male
__ male, would consider female
__ no preference
Are you looking for a specific color?
__ yes (if so, what color? _______________)
__ prefer _________________ (but willing to consider others.)
For what purpose are you
interested in a
__ family pet
__ conformation shows
When would you like to add a puppy to your home?____________
Any puppy sold as a pet may be sold with limited registration and/or spay/neuter agreement. Do you have a problem with this?
Have you spoken with any other Havanese/
Are you aware of the physical problems currently found in Havanese?
Have you and your family ever met and played with the breed?
Who else resides in your home, please list ages of children?_______________________________
Do you live in:
__ other (please specify _________________________________)
Do you rent or own your residence?
Do you have a fenced yard secure enough to hold a small dog?
If not, how will you provide security for your puppy when it is outside or when you are not at home?
Is there someone home during the day, or is anybody able to get home to “potty” a puppy?
Where will this puppy spend the day?
__ Outside, in the yard
__ In the house, confined to a puppy-proof area
__ In the house, loose
__ In its crate
__ Other (Please specify ______________________________________)
Will this pup have regular contact with the family during the evening?
How many hours a day will the puppy be left alone? _______
Where will the puppy sleep?
__ In its crate, in the bedroom
__ In its crate, in (fill in room) _________________
__ In bed with us
__ In the garage
__ Other (Please specify) ____________________________________
Are you willing to attend group-training classes with this dog?
What breed(s) of dog do you have or have you owned? If you haven’t owned a dog before, please so state. How many dogs and cats do you presently have, and what are their ages?
If any of the dogs previously owned are deceased, what were the circumstances?
Who will have the primary responsibility for the care of this puppy?
Please give the name, address and phone number of your vet (or one that has worked with you in the past):
Have you ever given a dog up? If so, why?
What kind of diet (brand name) do you think you will feed your puppy?
What do you expect from a puppy? For example, would you prefer a very active, outgoing dog or a quieter, more laid back pup? Please take a little time to tell me what your ideal dog would be like:
I apologize for the length and detailed nature of this questionnaire, but I do my best to improve this breed and that includes finding the optimal family conditions for my puppies. As a concerned breeder I believe strongly in prevention rather than repair. The best way for me to make a successful placement for one of my pups is to match it, with its individual temperament, to a family whose personalities and lifestyle will suit it and appreciate its unique qualities.
Please feel free to add any comments and/or questions here.
Thank you for your patience. I look forward to discussing Havana Silk Dogs further with you after receiving your reply.
For more Havana Silk Dog information including its history visit www.havanasilkdog.org
Havana Silk Dogs By The Bay