Lynda Shearer
Kamloops, B. C.
Canada
Phone: (250) 434-6966
Email: parloress@gmail.com
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QUESTIONNAIRE FOR PROSPECTIVE OWNERS
Thank you for your interest in our Springer Spaniels. By completing this questionnaire, the information you provide will enable me to match you with the Springer that is right for your particular situation.
Please add any additional comments on a separate page and e-mail the completed form to the above address.
Name___________________________________________________________Phone_______________
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Address___________________________________City________________Prov_______Code________
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1. Purpose for acquiring a dog______________________________________________________________
2. Are you familiar with the Springer Spaniel and how did you come by this knowledge?
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3. What attracts you to the Springer Spaniel?
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4. Have you investigated various breeds to determine which one best suits your lifestyle?______________
5. What other breeds have you considered?_______________________________________________
6.Have you ever owned a spaniel? _______ If no, have you owned dogs and what became of them?________
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7. Have you ever returned a dog to a breeder? ______ If yes, what was the reason?
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8. Have you ever given away or sold a dog?_____ If yes, under what circumstances?
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9. Have you ever surrendered a dog to the SPCA, pound or animal shelter? ______ If yes, what were the circumstances?
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10. Do you live in a house/apartment/townhouse?__________________Do you own or rent?______________
11. Are dogs allowed where you live?____________
12. If you have children, what are their ages?
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13. Do you presently have any other pets?__________ Describe
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14. Is anyone in your household - (1) Allergic to dogs?____yes_____no (2) Smoke?
_____yes______no
15. Is someone at home for all or part of the day?______________________________________________
16. Who would be the dog's primary caretaker?________________________________________________
17. Do you have a fully fenced yard (5 ft high or more)?______________What type?__________________
18. Would you consent to a home/yard inspection before placement of the dog to ensure it is dog-proof?
_____yes _____no
19. Where would your dog be exercised outdoors and allowed to relieve himself?_____________________
20. In what areas of the home would your dog be allowed?_______________________________________
21. What activities would you share with your dog?____________________________________________
22. Do you travel often?______ If yes, what arrangements would be made for your dog while you are away?
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23. Are you familiar with the grooming needs of a Springer Spaniel’s coat? ________
24. How many hours would you expect your puppy to be alone? _________________
25. Do you prefer a male or female puppy? ______________Reasons?
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26. Are you willing to sign a CKC Non-Breeding Agreement?________
27. Are you interested in Conformation showing, Obedience trials or other dog sports? ________
28. Name of your Veterinarian: ____________________________________
Veterinarian’s phone number: __________________________________
References: ________________________________________________________
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29. What method of discipline would you be using to correct or modify any unwanted behaviour of your puppy?
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Additional comments:
It is recommended that approved purchasers maintain contact with me so that when a breeding has taken place, I can inform you of the possible whelping date. Once the bitch whelps, a non-refundable deposit in the sum of $200.00 is required to reserve a puppy. Should I determine that another breed may better suit your needs, I will be happy to assist you with information and to recommend breeders. Thank you for taking the time and effort to complete this questionnaire.
Lynda Shearer