Name
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First Name
Last Name
Email Address
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Phone
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(###)
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####
Why have you decided to buy a Dachshund?
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What breeds of dogs have you owned in the past?
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Do you currently own any other pets?
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Do you prefer a male or a female?
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Male
Female
Doesn't matter!
If your first choice (male/female) is not available, would you be willing to take a puppy of the opposite sex or would you wait for another litter?
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Yes, I'd take a puppy of the opposite sex
No, I'd rather wait for another litter.
Long or smooth coat?
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Long
Smooth
Doesn't matter!
Any preferred color/markings?
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What is the most important reason for purchasing a dachshund? (Please check all that apply)
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family companion
show dog
breeding
obedience
competition
hunting/field work
pet therapy
other
A new pet does come with financial responsibilities, are you able and willing to spend as much as needed on all of your new pets needs?
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If it applies, do the other members of your family also agree to get a puppy?
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Yes
No
Do any members of your family have any types of allergies to dogs?
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Describe your family.
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What are the ages of children in the home, if applicable?
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Do you live in a house or an apartment?
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House
Apartment
Other
If you rent, have you checked with your landlord about getting a dog?
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Do you have a swimming pool? Is it fenced?
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Will you be willing to go to obedience classes with your puppy?
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Yes
No
Do you have a veterinarian?
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Yes, I have an existing veterinarian
Yes, I have a new veterinarian in mind
No, I do not currently have a veterinarian in mind
When this puppy is purchased as a family companion, we encourage you to discuss the best time to have your pup spayed or neutered with your veterinarian. Do you agree to comply with this?
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Please tell us or add anything else you would like us to know about yourself. We are excited about each new home for our Dachshunds!
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