Puppy Questionnaire Form

Do you own a dog now?:
yes
no

If you do own a dog, what is their breed, sex and age?:

Do you have small children?:
yes
no

If yes, how many and what are their ages?:

Do you have a fenced yard?:
yes
no

Will someone be home to take care of the new puppy?:
yes
no

If no, please explain your intentions:

Do you understand that the Rhodesian Ridgeback is a large, active dog requiring plenty of exercise?:
yes
no

Are you aware of the specific health problems that can occur in the breed?:
yes
no

Do you want to purchase a puppy? :
no
undecided
yes

Are you willing to give a deposit to secure a place on the waiting list?:
no
undecided
yes

Are you looking for a male or a female Rhodesian Ridgeback?:
Female
Male

Are you wanting a dog for showing or primarily a pet?:
Pet
Show

Do you understand that all dogs sold as pets are required to be spayed or neutered?:
yes
no

Do you have any questions or concerns about the breed that you would like us to address?:

Please leave your name, phone number and email so that we may respond to you:

Please list your city and state where you reside (or city and country if you are outside the U.S.):

Please type the text below: