PUPPY QUESTIONNAIRE

The following questions are being asked of you to insure that the right placement is made for each puppy. We need to consider the various requirements of both the puppy and his or her new owner(s) before a choice is made. We hope you will agree that the welfare of the puppy must be our top priority in considering placement. Please answer the following questions below and submit the form by clicking the submit button at the end.

If you experience a problem with submitting the form you may copy and paste the form to an email.

Thank you,
Justine Romano

(*) designates required fields

Name (*)	Invalid Input
Email (*)	Invalid Input
Telephone (*)	Invalid Input
Cell	Invalid Input
Address (*)	Invalid Input
City (*)	Invalid Input
State (*)	Invalid Input
Zip (*)	Invalid Input
Profession (*)	Invalid Input
How did you locate us? (*)	OtherFriend ReferralDog Fancy MagazineDog World MagazinePuppies USADogs USAUSACTC Breeder DirectoryGoogleYahoo Invalid Input
Breed(s) of Dogs Previously Owned: (*)	Invalid Input
What happened to these dogs? (*)	Invalid Input
What breeds of dogs do you currently own?	Invalid Input
Their temperament	Invalid Input
Gender	Invalid Input
Spayed or Neutered?	Invalid Input
How did you learn of the Coton?	Invalid Input
Why are you interested in owning a Coton?	Invalid Input
Do you plan to breed or show? (*)	YesNo Invalid Input
Will you keep in touch with the breeder?	YesNo Invalid Input
Do you live in a (*)	HomeApartmentOther Invalid Input Please Describe Invalid Input
Do you have a securely fenced yard? (*)	YesNo Invalid Input
What percentage will your Coton be in the house? (*)	Invalid Input
Yard? (*)	Invalid Input
Other?	Invalid Input
How many hours away from home are you each day? (*)	Invalid Input
Where will your Coton be during this time? (*)	Invalid Input
When you are away for work or vacation - how will your Coton be cared for? (*)	Invalid Input
On what occasions do you plan to use a crate, and if so, how long? (*)	Invalid Input
Where will your Coton sleep? (*)	Invalid Input
What type of training do you intend for your Coton? (*)	Invalid Input
Please list Family members/ages: (*)	Invalid Input
Briefly explain why you have chosen this time to bring a Coton into your family and how all of the family members feel about it: (*)	Invalid Input
Describe your personality: (*)	Invalid Input
Hobbies, dog related or not: (*)	Invalid Input
Preference, male/female, why? (*)	Invalid Input
Please check all that apply I want a Coton for: (*)	ShowObedienceAgilityTherapyBreeding Invalid Input Other: Explain Invalid Input
Any coat color preference? Describe: (*)	Invalid Input
Will you spay or neuter this dog? (*)	yesno Invalid Input
Please number traits below in order of importance to you: (*)	Temperament Invalid Input
	Gender Invalid Input
	Color or Markings Invalid Input
	Size Invalid Input
Describe the perfect temperament for your new puppy: (*)	Invalid Input
Antispam	Refresh Invalid Input