Print Name(s)_________________________________________________________
____________________________________________________________________
Address:_____________________________________________________________
____________________________________________________________________
Phone: (day)__________________________ (evening)________________________
E-Mail
address:________________________________________________________
Occupation(s):_________________________________________________________
____________________________________________________________________
Date________________
1. Why are you interested
in adopting a St. Bernard?
2. Have you had any
experience and/or exposure to St. Bernard's?
3. What do you know
about the breed?
4. What type of St.
Bernard are you looking for?
Male______Female______Longhair______Shorthair_______
Potential show puppy________Quality pet________
Particular markings___________________________________________________
Characteristics______________________________________________________
Puppy_____________________
or Adult____________________
5. Have you had pets
before? (What type?) & (Some history?)
6. Do you currently
have other pets? If yes, how many and what
kind?
7. Are there any children
in your household? If yes, how many
and what are their ages?
8. Do your children
have a lot of exposure to other animals where you
live?
Do other children
and pets visit regularly?
9. Do you rent or own your home?
(If rent, do you have the landlord's permission to keep a large dog?)
10. Do you live in
an apartment, single-family house, condominium, on
a farm, etc.?
11. Do you have a fenced yard or a secure play area where a puppy can
play without
fear of injury or loss?
12. Do you own a crate?
Are you willing to crate your dog for short periods of time?
13. Where will you
keep your dog during the daytime and at night?
14. How much time will
your dog spend alone?
15. What do you enjoy
doing with your pet(s)?
16. Do you have adequate
time in the evening and on weekends to spend
with your pet(s)?
17. Do you travel frequently
for work and/or for pleasure?
18. What arrangements
would you make for your pet(s) in your absence?
19. Upon making a St.
Bernard a part of your household, what part will
it play in your life?
20. What type of training
or schooling do you have planed for your puppy?
21. How much time are
you prepared to offer your puppy?
22. Are the other members of your household prepared to offer the time
and patience
that a puppy requires to become a loving member of your family?
23. Are you aware of
the possible health problems in the breed?
25. Do you have a Veterinarian
that you feel you can trust the health
of your puppy to?
26. Feel free to add
any additional comments that you would like.
27. Do you have any questions that you would like answered?
28. Please list three references.
29. Who referred
you to us?