Prospective Havanese Puppy Owner Questionaire
Please complete the questionaire below and return via email to:
ahavapicaro@yahoo.com
Press the Icon below for a printer friendly version of the questionaire.
Puppy_Questionaire07July2008.doc
Puppy_Questionaire07July2008.doc

Ahavapicaro Puppy Questionnaire


Name:

Address:

City/State/Zipcode:

Home Phone:Work Phone:Cell Phone:

Email:                                                     Referred By:

How many individuals involved with Havanese/Bolonka do you know?

Type of Dwelling:If renting, please give the name and address of Landlord:

Who will be the primary care giver?


Other individuals, including house staff, who may be involved in the care of this pup.


Where will the puppy be kept during the day?  During the night?


How many hours on average will the puppy be left alone?


Will someone be available to feed/exercise the puppy during the day?


Have you ever owned a dog before?             What kind?                    How Long?


If you do not own the dog any longer, why not?



Does anyone in your household have allergies to animals?


If yes, to what and how severe? 

                          
Have you consulted with your allergist about getting a havanese?


Females are harder to come by than males. Please rate your preference for either on a scale of 1-5 one being not very strong and 5 being strongest.


Are you interested in a  Male?   Female?  Puppy?


Would you consider an older dog?How much older?


What is your expected energy level of the havanese/bolonka to be?


Will you be attending any training classes? Beginning at what age for the dog?


IF you have ever given away a pet before, please list the circumstances.


Have you ever turned a pet over to a shelter or pound?  Under what circumstances?




Are you interested in showing the dog in the conformation ring?               Agility and/or obedience?

Have you ever shown a dog to its championship? 

Do you intend to breed this dog?  


Do you understand the difference between a limited registration and a full registration?


Are you willing to sign a spay/neuter contract if purchasing a pet?



Has your research included reviewing the Havanese Club of America Health Website discussing health problems in the Havanese breed?


Would you be willing to have your Havanese eyes checked for cataracts yearly and registered with CERF?


Length of time at this address?  Do you have a fenced yard or other suitable pen for your havanese?


What are the ages of your children?


Who referred you to us?


Do you have any questions for me/us?




We appreciate your interest in our dogs. The best initial way to contact us is via the puppy questionnaire and to include a working/preferred phone number and best times to reach you. When we receive your puppy questionnaire, I will email you if I have placed you on the electronic birth announcement list. If not I will try and contact you so we can have a conversation about it...even if to clarify a point or two.
Thank you for you time and patience.  We are quite busy in the mornings and late afternoon/evenings with the dogs so do please leave a message. Your understanding is appreciated.

Please return to:
Patricia McRae 115 Divinci Ct Swansea, SC 29160
Email:ahavapicaro@yahoo.com
Phone: 803-568-8842


Revised 06 July 2008