QUESTIONNAIRE ~ FOR BLACKPEARL KENNEL

Our questionnaire and contracts are written to insure the safety and well being of our puppies/dogs - Period!  While we take every step
possible to make our contract fair for all parties, we understand that there are special circumstances that crop up from time to time.  Over
the years we have modified our questionnaire and contracts numerous times to suit the desires of all parties involved.  We provide all
potential puppy/dog buyers with copies of our questionnaire, deposit contract and purchase contract and assure that there are negotiable
points in most cases.  We are, however, steadfast in several of our wishes and will not change several of the items in our contracts (most
specifically, our request that we ALWAYS be notified and allowed to take the puppy or adult back should the need arise).  Please feel free to
contact us if you have any further questions about our policies or guarantees.  

Please complete the following questionnaire and return:

Your Name:________________________________________________________________________________
Address: __________________________________________________________________________________
       ____________________________________________________________________________________
Phone: ________________________E-Mail:_______________________________________________________

1.      Have you ever owned a Labrador Retriever/English Springer Spaniel?Yes ( when and for how
long?)________                No_________
2.      What made you decide on a Labrador Retriever/Springer Spaniel?l  ___________________________________           
_______________________________________________________________________________________     3.      Do you prefer Male or
Female?__________Why?_________________________________________________
  ________________________________________________________________________________________
4.      Do you have a color preference?  Please indicate your preference in order 1 to 3.Labradors - Black
______                    Chocolate _______ Yellow _______ English Springer Spaniel - Black/Whiter _____
Liver/White_____ Tri's____
5.      Do you plan on participating in any of the following activities with your Labrador Retriever/English
Springer                       Spaniel? Please check all that apply.  _____Conformation      _____Obedience Competition
_____Hunting Tests             _____ Agility ____Breeding  _____Therapy  _____Other
6.       Do you plan to hunt with your Labrador/English Springer Spaniel?_________________________________
7.       If you are not planning on breeding or showing do you plan to have you Labrador or English Springer
Spaniel                  spayed or neutered?     Yes     No
8.       Do you currently own any other dogs?   Yes      No    If yes, please tell me about them along with the breed, age,              sex and spayed or neutered.
_________________________________________________________________             
_________________________________________________________________________________________
9.       Do you currently own any other animals?     Yes      No
   If yes, please tell me about them._______________________________________________________________
   _________________________________________________________________________________________
10.     Do you have a fenced yard?     Yes     No
11.     How do you plan to keep your Labrador safe and secure when you are not home?
   _________________________________________________________________________________________
12.     Do you have children?      Yes     No  If yes, please tell me their ages and brief idea of their exposure to
dogs.                  
_________________________________________________________________________________________
   _________________________________________________________________________________________
   ________________________________________________________________________________________
13.     What are your plans for housing and exercising your dog/puppy?____________________________________
   _________________________________________________________________________________________
14.    On average, what do you expect to spend per year on food, veterinary care, etc. for your Labrador or
English                   Springer Spaniel?___________________________
15.    How long have you been looking for the right Labrador or English Springer Spaniel?_______________________
  _________________________________________________________________________________________
16.     Have you spoken with any other Labrador Retriever or English Springer Spaniel breeders?     Yes     No
  If yes, Please list them.________________________________________________________  
17.     How did you find out about us?  If you were referred to us by someone please tell us who.             
  _________________________________________________________________________________________
18.     Are you currently on the waiting list for any other litters?     Yes     No
19.     Are you interested in being contacted about Rescue dogs or older dogs needing placement, If we should
come               across a dog that we feel would suit your needs?     Yes     No
20.    Tell us why obtaining your new puppy form a reputable breeder is important to you?_______________________
  _________________________________________________________________________________________
  _________________________________________________________________________________________
21.    What do you expect form your breeder?_________________________________________________________
22.    Please list references (Veterinarian, person active in dogs or close acquaintance preferred).  
Please                            include a phone number or e-mail  address.
_____________________________________________________
  ________________________________________________________________________________________
  ________________________________________________________________________________________              
________________________________________________________________________________________
 
THANK YOU, Buffie @ www.blackpearlkennel.com ~ 360-366-7203