Our Puppy Questionnaire
Pine Springs Golden Retrievers
Wakefield, Massachusetts
781-621-8642
email: Mail@PineSpringsGoldens.com
Potential Puppy Buyer Application
The information you share will be used by Pine Springs Golden Retrievers to determine the type of life that awaits one of our puppies in your home. To this end please provide an honest assessment, and rest assured that all information provided shall remain confidential.
Name:_______________________________________________________
Address:_____________________________________________________
City : ________________ State:___________ Zip Code;______________
Home Phone:___________________ Work:_________________________
Email :________________________ Occupation:_____________________
Number of people in household and ages: ___________________________
_____________________________________________________________
Is anyone in your household or immediate family sensitive to or allergic to dogs or pet dander, or have asthma?
Does any family member have any special needs, requirements, aversions or fears?
What regularly scheduled activities do members of your family participate in…by season and est. hours per day or week? For those who work, how much time are they away from the home?
Will this puppy’s needs (care, training, socialization) be the sole responsibility of a specific person (a child/ the children/ yourself/ spouse) in your family? Or will certain tasks (ex feeding) fall to an individual? In either instance, is this arrangement been delegated, or agreed upon? Please describe how each member of your household will be involved.
How many dogs have you and/or immediate family members owned before? What breed(s)? What happened to them?
What pets do you currently own- age(s)/ gender(s)? Have they lived with a dog before? Do they have any behavior problems? Please describe.
Do you live in a house, apartment, condo? (If you don’t own your home, or live in a community regulated by an association, you must provide proof that you can own a dog).
Do you live in a rural, urban or suburban neighborhood? Do you have a yard? If so, how large is it and is it fenced ?
Why do you want a Golden Retriever ? What qualities do you admire in this breed ?
Gender of puppy preferred : _____male____ female ____ flexible
Do you work: ____ full time or ___ part time ? How many hours are you out of the house during the day ?
If you are gone more than 4 hours at a time who will care for your puppy?
Tell us a bit about your lifestyle. Are you active, sedate, on the move all the time, or a homebody ? Describe your hobbies, activities, the kind of work you do. Give as many details as you can to help us match the best pup to your personality.
Are you interested in getting involved or competing in dog sports with your Golden ?
What are your specific interests : ______therapy work ___agility _____obedience _____ conformation ____hunting _____other:
Have you taken previous dogs to training classes before: ___yes ___ no. If yes, what style of training did you use: ___food ___clicker ___choke chain___other:
Where did you take your classes and how many did you take ?
How often do you travel for business or pleasure ?
Who will take care of your puppy while you are away ?
Are you planning a trip (3+ nights) in the next 6 months? If so how long will you be gone and who will be taking care of your puppy ?
Are you familiar with crate training? Do you plan on using the crate when you are at home? Will your pup be crated when you are out? Until what age do you foresee using a crate with your puppy?
Where will your puppy stay during the day?
Where will your puppy sleep at night?
Are there areas of your home that will be off limits to a puppy? Will this be a temporary thing (until puppy is mature and not destructive) or are their areas of your home that your dog will not be allowed.
Tell us a bit about your expectations of your new puppy. What traits do you find the most desirable? Least desirable?
Are you willing to learn about feeding a raw food diet and a modified vaccination schedule? Do you- or have you- raised any of your pets with these things in place?
Are you aware of the health benefits of keeping your pet intact? Are you willing to allow your puppy to reach the age of two or older before spaying or neutering so they can reach full skeletal maturity? Do you have any thoughts of keeping this dog intact for the purpose of breeding?
How many hours per day are you willing to spare/spend to train and socialize your pup : 10-15 min ______ 30-45 min:______ 1 hour: ____ as much as needed :_________
Are you willing to travel to find the right training class with kind non-forceful methods ? What is a reasonable distance for you to travel and how many classes are you expecting to take with your puppy/adolescent dog?
Do you know what homeopathy is? Do you or any other family member utilize alternative healthcare?
Do you currently have a relationship with a veterinarian? If so please provide their name and/or that of the business where they practice medicine. How long have you worked with this professional in caring for your animal(s)?
Do you know what a species appropriate diet is? Have you ever fed your pets this diet? If your pets are fed a kibble diet, what brand(s) do/have you ?
Would you consider alternative healthcare methods (for example: chiropractic, holistic care, homeopathy) as a way to keep your pet as healthy as possible?
How will you socialize your puppy to other dogs and people ? Please describe at least 10 places you will take your puppy.
1___________ 6__________
2___________ 7__________
3___________ 8_________
4___________ 9__________
5___________ 10_________
Are you planning on using a dog daycare service ? If not, how will you socialize your puppy to other dogs and puppies ? Be specific.
List any books about puppies or Golden Retrievers that you have read and enjoyed.
Thank you for inquiring about our breeding program. We will review your application and determine if we have a puppy that matches your expectations and experience level. We can be reached through email : or phone 781-621-8642 if you have any questions, and/or for our address should you wish to send this application thru US Mail.
