Name

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Address

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Email Address
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Phone Number

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Fax
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Good time to call you

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Do you live in Rural Suburban Owned Apt Rented House Owned House Rented House
Please select an item.

Is your pool fenced in? Yes No

Please list family members and
their ages

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Briefly describe why you have chosen
this time to bring a new family member
into your home

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Number of dogs previously owned
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What happened to these dogs?
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Have you ever had to euthanize
(put to sleep ) a dog?
If yes, explain why below
Yes No Please select an item.

If yes, explain here
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Have you ever bred a dog?
Yes No Please select an item.

If yes, for what purpose?
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Have you ever had an unfavorable
experience with a dog in the past?
If yes, please explain below
Yes No Please select an item.

If yes, please explain here
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No. of dogs presently owned-
Please list all - including breeds , sex
, age, spay/neuter, temperment, titles

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Do you currently have any other animals
at home/yard/barn? Please specify
(what kind,ages, sex, how many, etc.)

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When and how did you hear about BRT's?
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How did you hear about Snowline Kennel?
Friend Internet Dog show Other Please select an item.

If other, answer here
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Why are you interested in owning
a BRT?

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Who will be the primary caregiver
for the puppy?

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How many hours a day will your
dog be in the house?

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How many hours a day will your
dog be in the yard?
A value is required.

How many hours a day will your dog
be in some other place?

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How many hours a day will you be
away from home?
A value is required.

Where will your dog during this time?

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How will your dog be cared for when
you are away

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On what occasion to you plan to use
a crate, and for long?

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Have you ever housetrained a
puppy before?
Yes No Please select an item.

How are you planning on training
the puppy?

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Where will the dog sleep?

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BRT's require a moderate amount
of grooming, who will be responsible
for this?

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How long will you exercise
your dog daily?

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Do you plan on taking you new
family member to obedience classes?
Yes No Please select an item.

Is your preference for..
Male Female Please select an item.

Why?(to above question)

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Please select all that apply.
I want a BRT because:
Pet/Campanion Show Breeding Competition Obedience Protection Other Please select an item.

If other, please answer here
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Are you prepared to properly vaccinate, provide
medical care and license the dog requires per
your local statues?
Yes No Please select an item.

Do you have a veterinarian?
Yes No Please select an item.

If yes, please provide Name, address
or email address
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Do you have any special concerns
about BRT's?
Yes No Please select an item.

If yes, please explain here
A value is required.

Are you willing to keep us informed
of your puppy's progress with regular
updates and photos?
Yes No Please select an item.

Additional comments or questions A value is required.

Thank you so much for completing this questionnaire.. Someone will respond to you shortly.

Ken and Deb Lynn
Snowline Kennel

* Please email us if you do not get a response to this questionnaire in 3 days

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