STARGAZER LABRADORS PUPPY QUESTIONNAIRE
Date ____________________________
Name________________________________________________________________________________________________
Address______________________________________________________________________________________________
City and Zip Code _____________________________________________________________________________________
Telephone____________________________________________________________________________________________
Email address ________________________________________________________________________________________
Facebook Name ______________________________________________________________________________________
Name of Veterinarian ___________________________________________________________________________________
Address _____________________________________________________________________________________________
Phone _______________________________________________________________________________________________
Interested in
1st choice Male ______ Female _____ Either _____
2nd choice Male ______ Female ______ Either ______
Color
1st choice Black _____ Yellow _____ Chocolate _____ Any color _____
2nd choice Black _____ Yellow _____ Chocolate _____ Any color _____
Select all that apply Pet ____ Show ____ Agility/Rally _____ Hunting _____ Breeding _____
Have you ever owned a Labrador before? __________________________________________________________________
Do you Rent _____ Own _____ other _____ If you rent does your lease allow pets? Yes _____ No _____
Do you have a fenced in yard? Yes _____ No _____
Do you have Children in your home? _____________________________________________________________________
Do you have dogs now? _______________________________________________________________________________
Please list Breed, sex and age __________________________________________________________________________
How do you plan to confine your puppy while you are not at home? _____________________________________________
Is anyone in your household allergic to dogs? ______________________________________________________________
Are you willing to stay in contact and keep me informed on your puppies progress? _________________________________
Are you on a waiting list with any other breeder? ____________________________________________________________
Where did you hear about Stargazer Labradors? Friend _____ Family member _____ Another Breeder ______ Other ____
Any other information you would like to add
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
Thank you and I will review your questionnaire, add you to the waiting list and contact you.
Feel free to follow up anytime.
