Puppy Questionnaire

Name *

Email *

Phone *

Cell Phone

Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Profession *

How did you locate us? *

Breeds of dogs previously owned *

What happened to these dogs? *

What breed(s) of dogs do you currently own? *

What is their temperament? *

What gender is your dog(s)? *

Is your dog(s) spayed or neutered? *

YesNo

How did you learn of the Coton? *

Why are you Interested in owning a Coton? *

Do you plan to show your Coton? *

YesNo

Do you plan to breed your Coton? *

YesNo

Will you keep in touch with the breeder? *

YesNo

Do you live in a: *

HouseApartmentOther

Do you have a securely fenced yard? *

YesNo

What percentage will your Coton be in the house? *

What percentage will your Coton be in the yard? *

How many hours away from home are you each day? *

Where will your Coton be at this time? *

When you are away for work or vacation - how will your Coton be cared for? *

On what occasions do you plan to use a crate, and if so how long? *

Where will your Coton sleep? *

What type of training do you intend for your Coton? *

Please list family members and their ages. *

Briefly explain why you have chosen this time to bring a Coton into your family and how all the family members feel about it: *

Describe your personality: *

What are your hobbies, dog related or not: *

Do you have a preference, male/female, why? *

I want a Coton for: *

Any coat color preference? Describe: *

Describe the perfect temperament for your new puppy: *

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