Puppy Questionnaire

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Thank you for visiting and your interest in acquiring a Captiva puppy. Please take a few minutes to fill out our easy form to help us determine if a Captiva puppy is right for you.

Your full name:
Your email address: (e.g.: you@aol.com)

Your phone number (with country, city, area codes):

 
Address:
City/Town: State/Prov.: Post./Zip Code:
Country:

Do you own or rent your home?   Own   Rent

Number of adults in your household?
Age?   18-30   30-65   65+

Number and ages of children in your household?

Does anyone in your family have allergies to dogs?   No   Yes   Don't know

Is everyone in your family committed to getting an Irish Setter?   No   Yes
If no, please explain?

Who will be the primary care giver?

Have you ever owned an Irish Setter or dog previously?   No   Yes
If yes, what happened to it?

When are you looking to purchase a puppy?

What traits are you looking for in this puppy?

Are you interested in a male or female?   Male   Female
If that sex is not available would you consider the other?   No   Yes
Why?

Would you consider an older puppy or adult dog?   No   Yes   Maybe
If yes or maybe what is the maximum age you would consider?
  <1 Year   1-2 Years   2-4 Years   4-6 Years   6-8 Years   8+ Years

Do you have a fenced in yard or enclosure?   No   Yes
If no, how do you plan to control your dog, if yes what type and height of fence (ie chainlink, invisible, dog run)?
How much exercise will this dog receive?

Where will the dog PRIMARILY spend it's time?   Outside   Inside   Both   Kennel

Reason for wanting an Irish Setter check all that apply:
  Companion
  Conformation
  Obedience
  Field
  Hunting
  Breeding
  Agility

How many hours per day will this dog be left alone?   1-3   3-6   6-9

If more than 6 hours will there be a lunch walk?   No   Yes, by family member   Yes, by dog walker

Where will the dog be when no one is home - loose or crated, confined to kitchen,basement,garage,yard,kennel or other?

Where will the dog sleep at night? - on the bed loose crated confined to kitchen,basement,garage,yard,kennel or other?

What would you do with the dog if you suddenly found yourself unable to keep it? (things do happen!)

Do you have any other pets currently?   No   Yes
If yes what types, ages and temperament? Are they spayed or neutered?

Will you spaying or neutering this dog?   No   Yes   Depends
Please explain, are you planning on breeding?

What problems (health, training, behavior, etc) if any did you have with previous dogs?

Have you ever given a dog up to a shelter, pound or rescue group, if yes please explain?

Have you ever taken a dog to obedience classes?   No   Yes

Do you plan on taking this puppy to obedience?   No   Yes

How long do you expect house breaking to take?

Have you familiarized yourself with the characteristics of the Irish Setter?   No   Yes

How much time do you expect to do weekly on training and grooming?
  <1 hour   1-2 hours   3-4 hours   4-5 hours   5-6 hours   6-7 hours   7 Plus hours

Are you willing to follow the Health Guidelines supplied by Captiva Kennels regarding shots, exercise and feeding?
  No   Yes   Maybe
If no or maybe please explain:

Are you willing to stay in regular contact with Captiva Kennels for the life of the dog and provide updates?   No   Yes

Please provide two references (one preferably your vet and #'s)

How do you plan for the puppy to get to you ie pickup, ship?

Anything else you would like to tell us?

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Last modified: Tuesday, August 08, 2017