|
REBEC BASSET Click on links below or use the buttons at the bottom of each page to navigate through our Web Site.
|
 |
|
|
|||||||||||||||||||||||||||||||||||||
|
|
|
|
To fill out our questionnaire on-line, |
|
|
Reed & Becky Pomeroy PUPPY ADOPTION QUESTIONNAIRE Thank-you for inquiring about a Rebec Basset. This form is designed to help in placing every puppy into the proper home. We would appreciate it if you would fill out this questionnaire and return it to us. ______________________________________________________________________ NAME - Yours Spouse/Significant Other ______________________________________________________________________ ADDRESS PHONE E-Mail ______________________________________________________________________ CITY STATE ZIP ______________________________________________________________________ OCCUPATION - Yours PHONE ______________________________________________________________________ OCCUPATION - Spouse/Other PHONE How did you hear about us?_________________________________________________ What are the ages of any children living in your home or spending a lot of time with you? (If none, do you expect this to change in the future?) ______________________________ ____________________________________________________________________ Does every family member want a dog? Yes [ ] No [ ] If no, please explain: ____________________________________________________________________ What types of hobbies does your family enjoy? _____________________________ What made you decide to get a dog? _____________________________________ Why did you decide on a basset? ________________________________________ Do you prefer a male or a female puppy? __________________________________ Do you have a color preference? _______________________________________ For what purpose are you purchasing a basset? Family pet [ ] Obedience [ ] Show [ ] Breeding [ ] Other _____________________________________________ Do you have a dog now or have you had dogs before? Yes [ ] No [ ] If yes, what happened to them? _______________________________________________________ Have you had any unfavorable experiences with dogs in the past? Yes [ ] No [ ] If yes, explain: _________________________________________________________ Do you have any special concerns about bassets? Yes [ ] No [ ] If yes, explain: ________________________________________________________________ Do any family members have allergies? Yes [ ] No [ ] If yes, explain: ________________________________________________________________ Do you own [ ] or rent [ ]? Do you live in a house [ ] or apartment [ ]? Where will you keep this puppy? Inside [ ] Outside [ ] Combination [ ] Other [ ] Is your yard fenced? Yes [ ] No [ ] Do you have a fenced dog run? Yes[ ] No[ ] Do you plan to put up either of these in the near future? Yes [ ] No [ ] Do you understand the dog is not be kept tied outside or allowed to run loose, and that the dog must be walked on a leash outside of fenced areas? Yes [ ] No [ ] Does this create a problem for you? Yes [ ] No [ ] If yes, explain: ___________ _______________________________________________________________ Are you willing to use a crate as a home for the dog when you cannot supervise him/her? Yes [ ] No [ ] Do you have any concerns about this? Yes [ ] No [ ] If yes, please explain: _____________________________________________________ Do you understand the financial commitment involved in having a pet, beyond the initial cost of the dog? Yes [ ] No [ ] Are you willing to spay/neuter this dog (if a pet quality puppy is purchased)? Yes [ ] No [ ] If no, explain: _______________________________________________ |
|
|
 |
|
|
|
Thank you Dave and bassethoundrescue.com for creating and hosting our on-line questionnaire! |
|
|
||||||||||||||||||||
