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AMITY HALL BOXERS

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					                                   PUPPY QUESTIONAIRE

                                         Hatley Hollar Boxers
                                         Dale & Hilda Hatley
                                         13801 Five Point Rd.
                                          Locust, N.C.28097
                                            704-436-9594
                                    HHollarBoxers@vnet.net
Your assistance in completing this questionnaire, if approved, will help me place the right puppy
with you. If you feel that additional information would be helpful, please add it in the ‘Comments’
       section at the end of this application. Thank you for your cooperation and interest.


NAME__________________________________________PHONE/S____________________________________
ADDRESS____________________________________________________________________________________
CITY____________________________________ STATE______________________ZIP____________________
E-MAIL______________________________________________________________________________________


1) How did you hear about Hatley Hollar Boxers? _________________________________________________
    __________________________________________________________________________________________
2) For what purposes are you purchasing a Boxer? Circle, underline, or highlight all that apply:
   *Family pet *Obedience *Agility *Show *Hunting *Breeding *Other__________________________
3) Do you prefer (Circle, underline, or highlight all that apply):
   *Male    *Female *Puppy/age preference _________________             *Adult/age preference________________
4) Color preference (Circle, underline, or highlight all that apply):
   *Plain Fawn *Flashy Fawn *Plain Brindle *Flashy Brindle *White *No Preference
5) Do you prefer for your Boxer to have cropped or natural ears? ____________________________________
6) If your first preference regarding sex and/or color, isn't available, would you still be interested in
   purchasing a puppy? _______________________________________________________________________
7) Do all family members want a new puppy? _____________________________________________________
8) List the ages of all persons residing in your home? _______________________________________________
9) Is anyone in your family afraid of dogs? _______________________________________________________
10) Is anyone in your family allergic to dogs? ______________________________________________________
11) Are you aware that Boxers are large dogs (65-85 lbs.), and that they shed? __________________________
12) Have you owned Boxers before? _______________________ Other dog breeds? ______________________
    How many and when? ______________________________________________________________________
13) Have you ever rescued a dog and helped place it for adoption or kept it yourself? _____________________
    If yes, please explain: _______________________________________________________________________
14) Have you ever had a dog hit by a car? _________________________________________________________
    Please explain______________________________________________________________________________
15) Have you ever had to have a dog euthanized? ___________________________________________________
    Please explain______________________________________________________________________________




16) Have you ever shown a dog? ______________ Have you put any AKC titles on a dog? _________________
    Note any titles: ____________________________________________________________________________
17) Do you have any other pets at this time? _______________________________________________________
    What kind and how many? __________________________________________________________________
    _________________________________________________________________________________________
18) Do you own or rent? _________________ Circle, underline or highlight one of the following; residence is:
   *Single Family Home      *Apartment       *Townhouse        *Other_________________________________
19) Are you aware that a Boxer needs exercise? ____________________________________________________
20) Is your yard securely fenced? ___________________ Type of Fencing _______________________________
   Fence height ____________ Size of fenced area __________Do you padlock your gates? _______________
21) Do you have a kennel run? __________________ Size of run ______________________________________
22) If you do not have a securely fenced yard, how do you plan to exercise your Boxer? ___________________
    __________________________________________________________________________________________
23) Will someone be home with the dog during the day? __________________ With Whom? _______________
24) If your dog will be left alone during the day, how many average hours a work day? ___________________
25) Where will the dog be kept when you are not home? Circle, underline, or highlight:
   *Outside *Your bedroom        *Child’s room *Laundry room         *Basement   *Porch
   *Other___________________________________           In a crate or loose? ______________________________
26) If you are not at home during the day, what arrangements will be made to feed and exercise the puppy
    while you are not home? ____________________________________________________________________
27) Where will the dog be when you are home? _____________________________________________________
28) Where will the dog be kept at night? Circle, underline or highlight:
   *Outside *Your bedroom *Child’s room *Laundry room             *Basement
   *Other_________________________ At night will the dog be in a crate or loose? _____________________
29) Who will be responsible for the dog's daily care, such as feeding, walking? __________________________
30) What type or brand of food do you plan to feed your Boxer and how often? _________________________
31) Who will be responsible for the dog's health care and veterinary visits? _____________________________
32) Do you have a regular veterinarian? __________________________ List veterinarian’s name, address,
    and phone: _______________________________________________________________________________
33) Are you willing to take this Boxer to obedience and puppy kindergarten classes in order that he/she will
   become an enjoyable companion and a good canine citizen? _______________________________________
34) Where will you take your Boxer to classes? Name of the training club or facility, location, and phone:
    __________________________________________________________________________________________
35) Who will train this Boxer? __________________________________________________________________
36) How would you describe your lifestyle as a family? ______________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
37) What type of recreation do you enjoy as a family? _______________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
38) How do you usually spend your family vacation? ________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
39) How would your Boxer be cared for when you are on vacation? ___________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
40) If a divorce/separation should occur in your family, who would get custody of the dog? ________________
41) Are you aware that puppies require more time and attention than older dogs? _______________________
42) Are you willing to make that kind of investment of your time? _____________________________________
43) Are you willing to spay/neuter this dog? _______________________________________________________
44) Are you aware that no matter how careful your breeder is, and even though your breeder obtains the
   appropriate clearances from the parents of the puppy, there is always a possibility that your puppy could
   inherit a genetic or congenital condition, including but not limited to heart problems, cancer, allergies, hip
   dysplasia, etc.? _____________________________________________________________________________
45) Are you willing to purchase a puppy knowing there is no such thing as a perfect puppy? _______________
46) After reading this questionnaire, do you still feel that you are willing and able to offer this type of
   commitment to a Boxer, so that the Boxer puppy you purchase will have the type of lifestyle that he/she
   requires and deserves? ______________________________________________________________________
47) Are you committed to care for this Boxer’s needs for its lifetime? __________________________________
48) Would you agree to a home check? ____________________________________________________________
49) Why did you choose the Boxer breed and why do you think your family would be a good home for a
    Boxer? ___________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
50) Please list references of friends, breeders, or handlers that are familiar with you and how you care for
    your dogs or other animals. Include name, phone number, e-mail address, and how long you have known
    this person/s:_____________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
51) Comments:




Completed by _________________________________________________Date ___________________________

PLEASE RETURN THIS QUESTIONNAIRE TO ME AT THE MAILING ADDRESS ABOVE OR AS AN
ATTACHMENT TO E-MAIL.

				
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