PUPPY QUESTIONNAIRENAIRE

Rao Farms, LLC
The Kennel
Andrea Lane, Manager
W204 N13883 Goldendale Road
Richfield, WI  53076
262-677-0685

Thank you for your interest in our dogs.  We would appreciate your answering the following questions so that we can more easily select the right puppy/dog for you.  All information is confidential, and used only by us.  Thank you for your cooperation and help in answering our questions.

Your name___________________________________________________________________________

Address_____________________________________________________________________________

City_______________________________________________________State________Zip___________

Phone Number (Home)________________________________(Alternate)_________________________

Good time to call if we need to reach you___________________________________________________

Do you have children, and what are their ages:______________________________________________

How were you referred to us:____________________________________________________________

What are you interested in:  (Check all that apply)

                (  ) Puppy                               (  ) Older Dog

                (  ) Male                                 (  ) Female

                (  ) Orange/White                (  ) Liver/White

                Other color preferences:   ________________________________________________

                (  ) Companion                     (  ) Show                (  ) Hunt                  (  ) Field

                (  ) Obedience                      (  ) Breeding

What qualities do you like in the Brittany breed? _______________________________________________

What qualities don't you want to find in a Brittany? _____________________________________________

Is this your first Brittany? ________________________________________________________________

What dogs have you previously owned? ____________________________________________________

What happened to them? _______________________________________________________________

What animals do you presently have? ______________________________________________________

Where will the dog stay at night? __________________________________________________________

Do you have a fenced yard? ______________________________________________________________

Did you know that Brittanys can climb and/or jump fences? ______________________________________

How would you deal with that? ____________________________________________________________

Are you familiar with crate training and if so, do you oppose or agree with it? _________________________

Do you currently have a veterinarian you work with? ____________________________________________

In what price range did you expect to be able to purchase a Brittany? ______________________________

Please provide us with names & phone numbers of any references we may contact: __________________

____________________________________________________________________________________

Please use the reverse side of this sheet to give us a little insight into the expectations you may have for this new addition to your family.