About You

Puppy Adoption Questionnaire
First and Last Name(s): *
Address: *
Home Phone: *
Cell Phone:
Number of people in your household?:
Age(s) of minors? (Under 18):
Who will be responsible for caring for the dog and what is their general home/work schedule?: *
What activities do you participate in for pleasure/fun?: *
For what purpose are you adopting a Portuguese Water Dog? (Select all that apply): *
Do you have experience raising and training a puppy?: *
Do you currently have dogs in your house? If yes, how many and breed(s)?: *
Do you have them professionally groomed?:
Approximate size of your yard?: *
Is your yard fenced? Type of fencing?: *
Do you intend to keep your puppy inside?: *
Do you own a crate? Size(s)?: *
Do you understand the financial commitment involved in having a puppy other than the original cost of the puppy? (Vet costs, quality food, regular grooming): *
Are you willing to spay/neuter this dog?: *
Are you interested in a male or female?: *
Would you prefer a curly or wavy coat?: *
Date/Timeframe you are interested in adopting a Portuguese Water Dog?: *
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