Questionnaire

Full Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Do you have children at home? If so, please state their age(s), and, are they familiar with puppies/dogs? *

Have you ever owned a Flat Coated Retriever before? *

Do you currently own any dog(s) or other animals? If yes, please explain. *

What made you decide on getting a Flat Coated Retriever? *

Do you rent or own your home? *

Rent Own

If you rent, do you have landlord permission to have a puppy? *

Do you have a fenced yard? *

Yes No

Does anyone in your household have allergies to dogs? *

Yes No

Does anyone in your household smoke? *

Yes No

Do you use any pesticides or fertilizers in or around your home? *

Yes No Sometimes

If you do not have a fenced yard, explain how you plan on giving your puppy potty time and exercise. *

Do you currently have or are planning any household renovations, abatements, or restorations? If so, please excplain *

Do you have plans for a place to leave your companion if you go on vacation? Please explain. *

What sex do you prefer? *

Male Female No preference

As responsible breeders, we never breed for color.
While Flat Coated Retrievers come in many colors, our genetics only produce black flat coated retrievers.

How do you plan to exercise your flat coat? Explain. *

Where will your puppy sleep at night? *

Where will your puppy be when left home alone? *

How many hours a day and days of a week will your puppy be left home alone? *

Do you plan on crate training? *

Yes No Haven't Considered it

If you use a crate, what is the longest time your puppy will stay in a crate? *

Our puppies and dogs are raised on a conventional vaccination schedule. Are you willing to keep your new puppy on our vaccination program? *

Yes No

Our puppies are raised on cooked meats, veggies and good quality kibble. Please tell us what you plan on feeding your dog *

While it is not a requirement to own one of our puppies, we do highly encourage becoming involved with some sort of performance activity with your puppy. Not only is this good physical and mental stimulation for your pup, it is also an excellent bonding time for both of you.

Are you planning on attending obedience classes and/or any other performance like Rally, Agility, Flyball, etc.? *

Yes No I haven't considered it, but I'd be interested in learning more

Would you be willing to show the dog in conformation? *

Yes No I haven't considered it, but I'd be interested in learning more

We require three references, one of which must be your veterinarian.
Please make sure that your references know that we may be contacting them.

Is there anything else that you think we should know about you? Do you have any questions, comments or concerns? *

Please remember, that there are no right or wrong answers.
A puppy should never be a transaction, but rather a communication.
We simply use this form to get to know our new potential puppy families.
Please note that by filling out this questionnaire, in no way does it guarantee a puppy from
Harmony or Fishercreek Flat Coated Retrievers.

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