Puppy Questionaire

Name

Email

Phone

Address

What are your reasons for wanting a Boykin Spaniel?

Have you ever owned a Boykin Spaniel? If yes, who did you purchase your Boykin Spaniel from?

Please check the area in which you are most interested. (check all that apply)

If your preference for a:

Male

Female

Do you prefer a:

Puppy

Adult

No Preference

If a puppy were not available, would you consider an adult?

No

Yes

If you have another dog or dogs, please list their breed and age.

Do you have a fenced yard?

Yes

No

How many adults occupy your house hold?

How many children are in your household? Please list ages:

How many hours per day will this dog be left alone? Please explain your answer:

A veterinarian is an excellent reference. If you have one, please list their name and number so they may be contacted:

How did you hear about us?