Icemist Samoyeds – puppy questionnaire
Please complete and return this questionnaire to us in an email at email@example.com
Please note: There are FOUR sections to this questionnaire.
Home Phone (with area code):
Work Phone (with area code):
Mobile phone number:
** Part One **
How did you learn about us?
What type of residence do you live in? (House, apartment etc)
If you rent have you checked with your landlord about getting a dog?
Is your yard completely fenced and secure?
Do you have a swimming pool? Is it fenced?
How will you be housing your Samoyed?
How many family members reside at you residence?
What makes you interested in a Samoyed instead of another breed?
Do other family members want a Samoyed as well or another breed?
Do you have children? If so how many and what age?
Do any members of your family have any types of allergies to dogs?
Will this be your family's first dog?
Have you had a Samoyed?
Do you currently own any other pets? If so, what type, age and sex?
What breeds of dogs have you owned in the past?
What did you like most about your pet?
What did you like least about your pet?
** Part Two **
Please tell us a little bit about what you are looking for in a Samoyed and what type of activities
you would likely be pursuing (such as a couch potato, jogging companion, a buddy for the kids,
Do you have a perception of Samoyeds (what do you think they are like)? E.g. temperament,
Have you done any research or read any books about the breed?
If so what research have you done?
What is the most important reason(s) for purchasing a Samoyed (please tick all that applies):
Show dog ____
For show puppies:
Do you have any experience showing dogs? If yes, please elaborate.
If you have bought other show puppies please list from whom they were purchased.
Family companion ____
A dog for the kid’s ____
Agility/flyball competition ____
Other (specify please) ____
Are you looking for a young puppy or an older dog?
Are you looking for a dog as a gift for someone else?
Do you prefer a male or a female? Why?
If the sex you prefer is not available, will you accept a puppy of the opposite sex?
Are you interested in breeding from this dog?
Do you have any objection to de-sexing your puppy at 6 months of age?
What would you like to make sure you have in your Samoyed for traits? What do you wish NOT
** Part Three **
Will the puppy be a – indoor pet; outdoor, bit of both?
Where would the puppy or dog be housed during the day if no one is home?
Where will the puppy sleep at night?
How long will the puppy be alone the first weeks with you?
Do you work full time? Can someone let the baby out for play at intervals?
How much grooming do you think a Samoyed needs? (E.g. daily, Weekly, Baths, Shaving)
Who will take care of your puppy/dog when you go away on vacation?
Will you be willing to go to obedience classes? Puppy Kindergarten?
Have you ever had to put a dog to sleep?
Have you ever had a dog that died or had a significant health issue? Please elaborate.
Have you ever given a dog away? Please tell us details.
** Part Four **
This is the place where you can tell us everything else you would like to, and ask us questions!
Thank You for filling out this questionnaire!