Canine Questionnaire Please fill out the form to completion leaving no empty fields. Thank you. Canine Consulting Questionnaire Full Name * Email Address * Phone Number * What is your sole purpose in purchasing a dog? Have you had a puppy before? If yes, what breed and were you the sole caregiver? How would you rate your activity level on a daily basis? (1 being none, 5 being high) 1 (one) 2 (two) 3 (three) 4 (four) 5 (five) Describe your planned activities with your potential new dog, Do you or anyone in your household have allergies that should be considered? Yes No Not Sure What is your living environment? Condo Townhouse, Single Family Home, Acreage, etc? Do you rent? If yes, do you have written proof that an adult sized dog of the breed you wish to purchase is allowed? Do you own? If yes, are there restrictions where you live on dog height, weight, breed, etc.? What is your approximate budget? What city do you live in or near? reCAPTCHA If you are human, leave this field blank. Submit