SnoBear Berners Puppy Adoption Questionnaire

Name:

First Name Last Name

Name:

First Name Last Name

Email

example@example.com

Home Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Home Phone #

Area Code Phone Number

Cell phone#

Area Code Phone Number

Occupation - You

Hours Worked

Full time Part time Work at home Retired

Occupation - Spouse/Partner

Hours Worked

Full time Part time Work at home Retired

Do you have children living at home?

Yes/No / How many/Ages/Boys/Girls

Do you live in a House/Apartment/Condo/Townhouse

Type Housing

Do you have a securely fenced yard for the puppy?

Yes/No

What attributes are most important to you in a Bernese Mountain Dog?

Personality details

Any Household Members Allergic to Pet Dander/Hair?

YES NO Don't Know

If life changes happen, what would happen with your pets?

IE: Loss of Job, Divorce? New Baby? Move to no pets allowed?

Are you currently on any puppy waiting list?

deposit put down on puppy?

Why have you decided to add a Bernese Mountain Dog to your family?

When are you looking to adopt a puppy?

Please type these factors in the box below, in the order of importance to your choice in a puppy. You can leave out any that don't matter to you at all. A. Structure, B. Markings C. Temperament D. Sex E. Family Companion, F. Potential Obedience Dog, G. Pet Therapy, H. Search & Rescue, I. Potential Show Dog, J. 4H or FFA Project, K. Breeding, Longevity, M. Size, N. Other __________

Choose Importance

If you rent are large pets allowed?

Yes/No

Do you own or rent your home?

own/rent

Do you plan on moving anytime soon?

Is anyone home during the day? Where will puppy stay if you work? Will someone be at home to raise the puppy? Will daycare be used after puppy had completed all puppy shots? Please explain.

arrangements

Where will puppy sleep?

Are you willing to attend a group puppy class with a puppy?

YES NO

How many hours on an average day will your puppy spend alone?

hours alone.

Do you own any Pets Now?

Yes/No

If you own dogs please list: breeds, male or female? Spayed/Neutered? Ages?

Type a Have you ever owned a Bernese Mountain Dog?

If Yes, whom did you purchase from?

Breeder

If you've never owned a Bernese, what breeds have you owned in the past?

Do you have a pool? If so how will you protect your puppy from drowning?

Who will be the primary puppy caregiver?

Please list your vet's name, address and phone#

Have you ever returned a puppy/dog to their breeder? Please explain if so.

returned

Have you ever been charged with animal neglect or cruelty?

charges

Have you ever had a litter of puppies?

Please give us any other details or information that you feel will help us to know your family and your needs in respect choosing a puppy best suited to your family and lifestyle.

AS a condition of adopting to adopting one of our puppies we require that if at any time during this puppy's lifetime due to unforeseen circumstances, at any age, you can no longer care for and keep him/her living with you; you will return the dog to uswith no compensation and give up all rights to the dog. Will you agree to this requirement?

Yes/No

Although we strive to breed the longest living, healthiest puppies possible, and screen the parents for health issues, do you understand and agree that there is no guarantee that the puppy/dog purchased from us will be free of genetic defects or diseases during their life time?

Yes/No

Have you researched the Bernese Mountain as a breed? Are you aware that they carry a heavy coat and shed a lot of hair at times? Do you know that an adult Bernese normally weighs over 100 lbs? Have you researched the health problems that are known to this breed? Will you purchase pet insurance to help you pay for potential vet bills during your pet's lifetime?

Please elaborate your answers.

Thank you for taking time to fill out our adoption questionnaire. We will go over it and get back to you by email. If you do not hear from us please feel free to email us at: snobearberners@hotmail.com Please use the box below for any questions.