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Placement Questionnaire

This form must be completed before a visit is scheduled.  Your responses will be used to help make the best possible match of a puppy or adult dog with your family members, home and lifestyle.
 

Name:

Spouse - Other:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
E-mail:
Is this your first Lab?
YES NO
If NO, where did you get your first Labrador?:
 


How many years has it been since you have had
a puppy in the home?:

 

Tell us why you want a Labrador:
 

Please list families hobbies the puppy would participate in:
 

What is the most important criteria to you in selecting a puppy?:
 

Please explain:
 

What is your FIRST choice for COLOR/SEX?
(All families must have 2 choices.)
 

What is your SECOND choice for COLOR/SEX?
 

Your residence:
 
Where will the dog stay during the day:
 

Where will the dog stay during the night:
 

Yard & Exercise Area:
 
What is your opinion of crate training?:
 
Who will be the primary care giver?:
 
 
How many hours a day will the pup be left alone?:
 
 

A child is ready for a young puppy when they
are coordinated enough to push the puppy
away and the puppy can understand the
gesture.  Until then, an adult Labrador may be a good choice for toddlers or very young children.

 
How many children live in the home?:
 
Children's ages:

Any known allergies to dogs?:
 
 YES NO

Have any of the children ever been frightened or been bitten by a dog?:
 
 YES NO

Please list the dogs and cats in your home and indicate if they are spayed or neutered.: 
 

Name and phone number of your Veterinarian:
 
   

Choose a convienient Date and Time for your visit:

 

 

  

 

 
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