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Birchwood Labrador
Retrievers
JoDee Edes
Dexter, Maine
207-717-5227
birchwoodlabs@yahoo.com
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PUPPY OR DOG PLACEMENT
QUESTIONNAIRE
FOR
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Written in our contract is the agreement that we retain first right of refusal; this means that we must be offered the
chance to buy back our puppy or have it placed with us, should you ever chose to sell or surrender it.
Our Birchwood puppies should never have to end up in a shelter or given away. We will take them back for the
life of the dog, and re-home them if possible.
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"All fields are required in order to submit"
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NAMES:
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HOME PHONE:
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WORK PHONE:
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CELL PHONE:
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EMAIL:
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ADDRESS:
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CITY, ST. & ZIP CODE
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This is NOT a test. There are no right or wrong answers. Please answer thoughtfully .These
questions should help you understand how a puppy or dog may affect your life. your responses will
be used to help make the best possible match of a puppy or dog with your family members, home
and lifestyle.
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HOW MANY PEOPLE LIVE IN YOUR HOUSE?
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ARE ANY AND HOW MANY ARE CHILDREN?
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IF CHILDREN, WHAT ARE THEIR AGES AND GENDERS?
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HOW DID YOU FIRST LEARN ABOUT LABRADORS
AND WHY WOULD YOU LIKE TO OWN ONE?
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DO YOU HAVE ANY PETS NOW? IF SO, HOW MANY
AND WHAT KINDS?
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IF YOU OWN OR HAVE OWNED DOGS BEFORE, WHAT
WERE THEY LIKE, HOW OR WHERE DID YOU GET
THEM, AND WHAT HAPPENED TO THEM?
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DESCRIBE THE "MOST" IMPORTANT
CHARACTERISTICS YOU ARE LOOKING FOR IN A
DOG?
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DESCRIBE THE "LEAST" IMPORTANT
(REQUIRED)
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DO YOU PREFER A BLACK,YELLOW,CHOCOLATE OR
NO COLOR PREFERENCE?
Male or Female
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WHY AND WILL YOU SWITCH IF THAT COLOR OR
GENDER IS NOT AVAILABLE?
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DO YOU PLAN TO SPAY OR NEUTER YOUR DOG?
IF NO, WHY NOT?
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WHAT HOBBIES OR ACTIVITIES DO YOU AND YOUR
FAMILY ENJOY?
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DO YOU LIVE IN A HOUSE,CONDO,APARTMENT OR
OTHER?
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IF YOU RENT, DOES YOUR LEASE ALLOW DOGS?
DO YOU HAVE A LETTER OR PROOF OF PERMISSION?
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DO YOU HAVE YOUR OWN YARD? IS YOUR YARD
COMPLETELY FENCED SO THAT THE DOG COULD NOT
ESCAPE?
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IF NOT, WHAT ARRANGEMENTS WILL YOU MAKE TO
KEEP THE DOG ON YOUR PROPERTY?
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DESCRIBE YOUR STREET, THE TRAFFIC ON IT AND THE
SPEED LIMIT
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IS SOMEONE HOME OR ABLE TO COME HOME DURING
THE DAY? IF NOT, ARE YOU PLANNING ON ANY OTHER
FORM OF DAYTIME CARE?
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DO YOU HAVE A CRATE? IF NOT, ARE YOU GETTING A
CRATE?
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WHERE WILL THE DOG SLEEP AT NIGHT?
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WHERE WILL TH DOG BE WHILE YOU ARE HOME?
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WHERE WILL THE DOG BE KEPT WHILE YOU ARE
OUT?
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WHERE WILL YOUR DOG SPEND MOST OF ITS TIME
DURING THE DAY?
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HOW DID YOU GET MY NAME?
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Name, Address & phone # of your regular veterinarian
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Copyright © 2007 Birchwood.
All rights reserved.
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