Is this your first dog?
<Please Select One>
Yes
No
Do you have any dogs now? If
yes, please list their breed, gender, age, if spayed/neutered:
If you don't have the dog(s), why don't
you have it? (please be specific)
Did/Do you have any problems (health,
training, behavior, etc) with current/previous dogs? (be specific):
List any other pets you currently own:
Have you ever had to euthanize a dog?
If so, why?
Have you ever had to take an animal to a
shelter or pound? If, yes, please provide details:
Where did you get your previous or
current dog? Please check all appropriate boxes.
a
breeder
breed
rescue
local
shelter
stray
pet store
gift
Have you ever returned a dog and if
so, why?
Have you ever owned/do you own an American
Eskimo before? If yes, from whom did you purchase it, and how long did you
have it? If no, what are your reasons for choosing one now?
Preferences:
What gender do you prefer?
(Male) (Female) (Doesn't Matter) And
why.
If the sex you prefer is not
available, will you accept a puppy of the opposite sex?
<Please Select One>
Yes
No
I'll wait
Would you consider an older puppy or an
adult dog?
<Please Select One>
Yes
No
Possibly
If yes or possibly, what is the maximum
age you would consider?
<Please Select One>
1-2 years
2-4 years
4-6 years
6-8 years
Please indicate your
interest: