Name:
YOUR CONTACT INFORMATION
Street:
City:
State:		Zip:
Email:
Phone:		Fax:
YOUR VETERINARIAN INFORMATION
Name:
Street:
City:
State:		Zip:
Email:
Phone:		Fax:
INFORMATION ABOUT CARING FOR YOUR PUPPY
1. Why are you choosing a Havanese Puppy?
2. Are you interested in?   Pet Show Agility Breeding Obedience
3. What other pets do you have?
4. What pets have you had in the past and where are they now?
5. How many children do you have?     What ages?
6. Where do you live?  House Townhouse Apartment
7. Is your yard fenced?  Yes  No
8. Are you willing to sign a spay/neuter contract?  Yes  No
9. Do you know how to house train a puppy?  Yes  No
10. Will you be able to pick up your puppy? Yes  No
11. How will your puppy get exercise?
12. When your puppy is alone where will he be?
13. How many hours per day will your puppy be alone?
14. Where will he sleep at night?
15. What food, treats and toys do you plan to give him?
16. Who will groom puppy?  Owner Professional
17. What flea/tick preventative do you plan to use?
18. What heartworm preventative do you plan to use?
19. Please estimate your puppy expenses per year.
20. Who in your family will be the primary caregiver?
21. When you are on vacation, who will care for your puppy?
22. Do you have any questions for me?

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