Name:
Home Phone:
Address:
Cell Phone:
Email:
Occupation:
How did you become interested in the breed?
Have you seen a Welsh Springer Spaniel?
yes
no
Do you know someone who owns a Welsh Springer?
Do you have a preference for a male or female? Male
Female
Either
Do you have a preference for a puppy or an adult dog? Puppy
Adult
Either
Tell me about the makeup of your family. Spouse, partner, children, other pets:
In what family activities would your dog be included?
What plans do you have for the dog? Companion, competition, hunting, etc.
Do any family members suffer from allergies? Yes
No
Not sure
Who will be responsible for the care and training of your dog?
Do you live in a house, townhouse or condo? Rent or own?
In what rooms of the house will the dog be permitted?
Where will the dog sleep? Daytime? Night?
Where will your dog stay while you are at work?
What arrangements will you make for your dog when you are on vacation?
Do you have a veterinarian?
Do you know of a reputable kennel club, dog training club, or private training school which uses positive, motivational training techniques?
Do you have a fenced yard?
How do you plan to exercise your dog?
Are you familiar with crates and crate training for housebreaking?
Is your family active or quiet?
Do you have any additional comments or questions you would like to share?