German Shorthair Pointers vom Koch

Potential Puppy Client Information Sheet

Date: _________

Thank you for your interest in obtaining one of my puppies. I would appreciate your answering the following questions so that I may be able to better assist you in choosing the right puppy for your particular situation and needs. All information is voluntary, confidential, and will remain private. This information is for the sole purpose of assisting in the placement of puppies for new prospective clients. Thank you for your cooperation and help in answering the following questions.

YOUR NAME ____________________________________________________

ADDRESS ______________________________________________________

CITY ____________________________ STATE __________ ZIP __________

PHONE NUMBER ( ___ ) ____________ (HOME)

( ___ ) ____________ (WORK)

BEST TIME TO CALL IN ORDER TO REACH YOU ________________________

HOW WERE YOU REFERRED _________________________________________

WHAT ARE YOU INTERESTS ( ) MALE ( ) FEMALE

PIGMENTATION DESIRES ( ) MOSTLY LIVER ( ) MOSTLY WHITE

STRUCTURE/SIZE PREFERENCE ( ) LARGE ( ) STANDARD ( ) COMPACT

WHY ARE YOU INTERESTED IN A GSP

( ) COMPANION ( ) PERSONAL HUNTING PARTNER ( ) COMPETITION

( ) BREEDING ( ) GUIDE DOG ( ) OTHER _____________________________

WHAT QUALITIES DO YO PREFER IN A GSP____________________________

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WHAT DO YOU NOT PREFER IN A GSP ________________________________

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IS THIS YOUR FIRST GSP ( ) YES ( ) NO

WHAT DOGS HAVE YOU OWNED PREVIOUSLY__________________________

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WHAT ANIMALS DO YOU HAVE AT HOME NOW_________________________

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HAVE YOU EXAMINED THE PUPPY PURCHASE AGREEMENT ( ) YES ( ) NO

HAVE YOU HAD TO EUTHANIZE AN ANIMAL ( ) YES ( ) NO

IF SO, WHY____________________________________________________

ARE YOU CONSIDERING BREEDING THIS DOG ( ) YES ( ) NO

IF SO, WHY ____________________________________________________

FAMILY DATA: ARE YOU ( ) LIVING WITH SOMEONE ( ) LIVING ALONE

YOUR AGE: ______ CHILDREN LIVING WITH YOU_______ AGES _________

OCCUPATION OF ADULTS LIVING IN HOUSEHOLD: ____________________________________________________________________________________

ARE THERE OTHERS WHO ARE GOING TO HAVE REGULAR CONTACT WITH THE DOG __________________________________________________________

WHERE WILL THE DOG STAY DURING THE DAY ________________________

WHERE WILL THE DOG STAY DURING THE NIGHT ______________________

DO YOU LIVE IN (Check all that apply) ( ) URBAN ( ) SUBURBAN

( ) RURAL ( ) HOME ( ) APARTMENT

WOULD YOU LIKE ANY INFORMATION ON CARE AND TRAINING OF A GSP OR PROFESSIONAL TRAINING POINTS OF CONTACT ( ) YES ( ) NO

IF THERE ARE ANY ADDITIONAL REMARKS THAT YOU WOULD LIKE TO MAKE TO HELP ME ASSIST YOU IN ASSESSING WHICH PUP WOULD BEST SUIT YOUR INDIVIDUAL SITUATION, PLEASE ADDRESS THAT IN THE SPACE PROVIDED BELOW:

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Thank you for taking the time to provide me with a little insight into your individual situation. As you know, everyone has different goals in mind for their animals. Some people are looking for calm, submissive easy-going animals as a mild-mannered companion dog, others are looking for the driven and dominate dog for competitive training for either a working dog or field trial dog and so it goes, with as many different desires and preferences as there are individual people looking for a pet. My goal is to place every animal in my care into a home that best suits everyone involved. Your input makes it that must more enjoyable when I know that everyone leaves satisfied that they got the best companion animal that they could have had.