Stuarthome Questionnaire

Name:

Street Address:

City, State, Zip Code:

Spouse/Partner Name:

Area Code & Telephone Number:

E-mail Address:

Your Occupation:

Spouse/Partner Occupation:

Do you have children, if so what are their ages and history with dogs:

Do you and/or your family members have allergies to dogs?:

Do you own or rent your place of residency? If you rent do you have permission to have a dog?:

Do you have a securely fenced yard?:
yes
no

If not, how do you plan to protect your Cavalier when he/she is outside?:

Have you owned a dog before?:
yes
no

If these dogs are no longer with you, what happened to them?:

List dogs currently owned including breed:

Do you own any other animals? Please list:

Why do you think a Cavalier is for you?:

What research have you done on the breed? Do you know other people with Cavaliers?:

Did you read the health section on this website?:
yes
no

Are you looking for a puppy, adolescent and/or adult?:
Adolescent
Adult
Puppy
Young Adult

Have you ever owned a Cavalier?:
yes
no

If you owned or in the past owned a Cavalier, where did you get he or she from?:

Do you prefer female or male?:
Does not matter
Female
Male

Are you looking for a pet or show prospect?:
Pet
Show Prospect

Will you spay or neuter this pet?:
yes
no

Are you aware all pet from Stuarthome are required to be neuter or spay?:
yes
no

Do you have a color preference?:
black and tan
Blenheim (red and white)
ruby
tricolor

Where will your Cavalier stay?:

Have you ever returned a pet and/or given one away? If so, what were the circumstances?:

Do you or have you ever bred Cavaliers or any other animals?:

How did you hear about Stuarthome Cavaliers?:

Are you communicating with other breeders? If so, whom?:

References (including veterinarian):

Please type the text below: