Please take few moments to answer the questions below.
Your responses will be used to help us determine which puppy
will best fit your family and lifestyle.

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

How did you first learn about Vizslas?  Why would you like to own a Vizsla?

Do you prefer:

Male
Female
No Preference

Would you plan to breed this dog?:

Select One Yes No

Would you spay or neuter this dog?:

Select One Yes No

Do you have any pets now?:

Select One Yes No

If yes, what kind of pets?

If you have dogs now, or have had them before, tell us a bit about them. What
were they like? How or where did you get them? If they are no longer with you,
what happened to them?

Have you ever raised a puppy?

Select One Yes No
 

Who is the person/persons responsible for the decision to purchase a new puppy?

Do you plan to participate in any of the following activities with your dog? Check as
many as are applicable:

Showing
Obedience
Agility
Field Trials
Hunt Tests
Breeding
Tracking
Other

If you have experience in any of the above activities, please tell us about it.

How many people live in your household?

If there are any children, what are their names and ages?

Who is the person responsible for 50% or more of the care of the puppy?

Is someone home during the day?

Select One Yes No

If not, where will the puppy be kept while you are out?

Are you planning on crate training this puppy?

Select One Yes No

What will you do if the puppy chews up your favorite pair of shoes,
couch, TV remote?

How long do you expect it to take for this puppy to be adequately house
trained?

Are you prepared to have a dog who weighs 45-65 pounds and yet still
thinks he/she needs to be in your lap while watching TV?

What hobbies or activities do you or your family members enjoy?

Would the dog participate in any of these activities with you?

Is there anyone in your home who doesn't like dogs or has allergies,
asthma etc. If so, what arrangements will you plan to make to
accommodate this person?

Do you live in a:

House
Condo
Apartment
Other

If you rent, does your lease allow you to have pets?

Where will your dog spend most of it's time when he/she is at home?

Do you have a fenced yard or other enclosure for a dog. Please describe
the yard and the type of enclosure you have for the dog?

If you do not have a fenced yard, what arrangements will you make for
keeping your dog nearby when he/she is outdoors?

Do you agree never to allow the dog to run loose or be tied up in the yard?

Select One Yes No

Do you have any poisonous plants in your yard?  If you are not sure, check out
the link below to help you to identify them.

Select One Yes No
 

http://www.aspca.org/site/News2?page=NewsArticle&id=7580&news_iv_ctrl=1321


Are you prepared to spend the next 10 to 15 years of your life caring for this
puppy, feeding, exercising, grooming and giving proper veterinary care?

Select One Yes No

Do you agree, if for any reason you are unable to care or cannot keep this dog,
you will return the dog to the breeder?

Select One Yes No

Do you have a Veterinarian, or have you contacted one for when the puppy arrives?

Will you obtain shots, rabies, license, tattoo or microchip, etc. for the puppy?
Explain:

Will you agree to always keep the breeder current with regard to your address,
and inform the breeder of any problems that may develop with the pup over
his/her lifetime?

If you have a swimming pool in your backyard are you prepared to take the
necessary precautions during the times you are not around to watch the pup/dog
in or around the pool?  If yes, what fencing if any surrounds the pool area?

Do you agree to always keep dangerous cleaning solutions, foods and medications out
of the reach of the puppy/dog or locked up and secured.
(including such things as oils/fuels/coolant/bleach/paint & foods such as chocolate etc)

Select One Yes No

Please provide 3 references with names, phone numbers, email etc. who we may contact
regarding your ownership of a new puppy.

Please provide your Veterinarians name, address and telephone number.

Will you agree to provide your puppy with proper housing, food & Vet care
for it's lifetime?

Select One Yes No

Is there anyone in your family that does not want a new puppy or is undecided
about this puppy or breed? Please explain.

Will you agree to attend at least one full session of puppy class and/or beginner
obedience class with this puppy?

Will you agree to send photos of the puppy as he/she grows up and into adulthood?

Select One Yes No

Will you guarantee to inform the breeder of ALL address and phone number changes
for the life of your dog?

Select One Yes No

Will you guarantee that the dog is being purchased for you own ownership and
you are not acting as an intermediary for, nor will the buyer transfer ownership
to any owner, employee, agent or individual connected with a pet shop, puppy mill,
or wholesaler of dogs? (any person(s) who buy puppies in litter lots or trades puppies
for possessions or services)

Select One Yes No

Is there anything you would like us to know that hasn't been covered in this questionnaire?
Do you have any questions you'd like to ask us about Vizslas or about dogs in general?