PURCHASE A PUPPY QUESTIONNAIRE If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required PLEASE FILL OUT THE QUESTIONNAIRE AS COMPLETELY, AND ACCURATELY AS POSSIBLE. WE LIKE TO MAKE SURE THAT ALL OUR PUPPIES GO TO QUALIFIED & LOVING HOMES. THIS ENSURES THAT BOTH THE OWNER AND THE DOG WILL HAVE A LONG, REWARDING, AND HAPPY RELATIONSHIP. NAME * EMAIL * ADDRESS CITY STATE Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZIP CODE PHONE WHAT BREED ARE YOU INTERESTED IN PURCHASING? LABRADOR CHESAPEAKE BAY HAVE YOU OWNED THIS BREED IN THE PAST? YES NO WHAT SEX DO YOU PREFER? MALE FEMALE NO PREFERENCE WHAT COLOR OF LABRADOR DO YOU PREFER? BLACK CHOCOLATE YELLOW NO PREFERENCE WHAT DO YOU EXPECT THE ACTIVITY LEVEL OF THIS BREED TO BE? VERY HIGH HIGH MODERATE LOW DO YOU HAVE CHILDREN IN YOUR HOME? YES NO WHAT ARE THEIR AGES? DO YOU HAVE OTHER DOGS IN THE HOME? YES NO IF SO WHAT BREED(S) OF DOG ARE THEY? IF YOU DO NOT HAVE ANOTHER DOG, WILL YOUR DOG BE EXPOSED TO OTHER DOGS? YES NO IF YES, HOW OFTEN? HAVE YOU HAD A PUPPY BEFORE? YES NO WHAT TYPE OF DWELLING DO YOU LIVE IN? HOUSE CONDO APARTMENT MOBILE HOME HOW WOULD YOU DESCRIBE YOUR HOUSEHOLDS LEVEL OF ACTIVITY? VERY ACTIVE MODERATE ACTIVITY LOW ACTIVITY WHERE WILL THE PUPPY BE KEPT AT NIGHT? WHERE WILL THE PUPPY BE KEPT DURING THE DAY? DO YOU HAVE A FENCED IN YARD? YES NO IS ANYONE HOME DURING THE DAY? YES NO HOW MANY HOURS PER DAY WILL THE PUPPY BE LEFT ALONE? WILL THERE BE SOMEONE AVAILABLE TO TRAIN AND EXERCISE THE PUPPY DURING THE DAY? YES NO DO YOU PLAN TO KENNEL/CRATE TRAIN YOUR PUPPY? YES NO DO YOU PLAN TO ATTEND PUPPY CLASSES, OBEDIENCE CLASSES, ETC? YES NO DO YOU PLAN TO BREED THE DOG? YES NO DO YOU HAVE A VET? YES NO WHY DO YOU WANT A DOG? WOULD YOU COME VISIT US TO BECOME FAMILIAR WITH RISE AND SHINE RETRIEVERS? YES NO WHAT QUESTIONS DO YOU HAVE FOR RISE AND SHINE RETRIEVERS? ANTI-SPAM QUESTION 1+1= * Submissions Will Be Responded To As Soon As Possible! Thank You For Your Interest!