PLEASE Copy and paste this into your email to us.
We know this is a very long questionnaire, but we want to insure our puppies go to the best homes.
If you would like a Word file to fill out instead of copy and pasting, please e-mail us and we can send you one! When you transfer this to an e-mail you will need to change the color of the font from white to black.
Click Here to download the Questionnaire in a Word file.
Click here for PDF.
Golden Plains Golden Retrievers
include all household members names):
1) Are all family
members ready to commit to adding a puppy to the family?
2) Who will be
the primary care giver for the puppy?
3) Does anyone
in the family have allergies?
4) Within what
time frame are you looking to add a puppy to your family?
5) Are you expecting any lifestyle
changes within the next 12 months? For example: moving, new job, or new baby.
6) Have you
owned a Golden before? If yes, from whom did you acquire it?
7) Are you
looking for a Male or Female?
8) If your first
choice is not available would you consider a puppy of the opposite sex?
9) Are you planning to breed this dog or bitch?
10) What is your reason for looking for a new puppy (family
companion, obedience, breeding, conformation, agility, fieldwork, or other)? All companion
puppies are sold on AKC limited registration with a spay/neuter requirement. Limited
Registration means that the dog is registered through the AKC but no litters
produced by that dog (male/female) are eligible for registration with the AKC.
11) (Answer only if you want to breed) Do
you agree to complete all breeder-required clearances and submit them to the
OFA before you consider breeding this puppy? Dog or Bitch must pass all required
clearances: OFA hips with a Fair, Good, or Excellent, Normal elbows, eyes a
CERF or OFA passing clearance with or without breeder options by a board
certified Ophthalmologist and normal heart cleared by a board certified
12) If purchased
as a family companion do you agree to wait to spay/neuter the puppy until after
18 months of age?
13) Where will
the puppy/dog spend most of its time?
14) Please provide us with the current and past pets you have, are they
spayed or neutered?
15) Do you have
children? What are their ages?
16) Do you live
in a house, apartment, etc?
16 a.)If you rent, has your landlord
agreed in writing to allow you to have a
dog on the premises will you provide that documentation
17) Is your yard
fenced in? If “yes” what type of fence is it (chain link, wood etc.)?
18) If your yard
is not fenced in how will you provide security for the puppy when it is
19) What are
your plans for the puppy when you are not at home?
20) Have you
ever crate trained a puppy?
21) Will someone
be home during the day or able to come home to let the puppy out to potty?
22) Do you agree
to never let the puppy be tied up outside as a means of confinement? If not
please state why?
23) Do you
understand that Golden puppies like to chew on items and have very sharp teeth while they are teething? Proper training is needed to insure that your
favorite shoes, Grandmother’s chair or other property, do not
become a chew toy/hazard for the puppy.
24) Are you
willing to take your puppy to socialization classes so that it will become an enjoyable companion and good canine
25) Are you
aware that adding a puppy is like adding a two year old child to your household
that comes with a 10-15 year commitment?
26) Are you
aware that Golden Retrievers are considered a large breed and they shed A LOT! They need to be groomed and bathed on a
In spite of the best care and the best
breeding practices, health problems may occur that require surgery or extensive
treatment. These problems can include but are not limited to: OCD, hip
dysplasia, liver shunts, allergies, cancer, accidental poisoning, and auto
27) Are you willing to provide good
veterinary care and are you willing to invest in your puppy in the event
of health problems?
28) Are you willing to feed a good quality food selected from a list
provided to you? Or check with me if you want to change foods?
29) If due to unforeseen
circumstances you have to place the dog, I require you return the puppy/dog to
me and I will place the puppy or help you find a suitable new home, do you
agree to this?
30) Are you on a
waiting list for any other litters?
31) Are you
willing to abide by a contract that specifies matters regarding registration,
health, breeding, spay/neuter, and general care?
32) Is there any
additional information you would like to share that would be helpful to get
to know you better?
33) I also do
not approve of the dog/puppy living outside. Golden Retrievers are loving dogs
and do best if they are with their family. Do you agree to allow the dog to
live inside and to never be chained up outside as a regular means of
confinement? Do you agree to allow the puppy to live in your house?
34)I also do not
approve of dogs/puppies riding in the back of pick-ups either in a crate or
out. I have seen what happens if you should ever get in a wreck and the dog
By answering and
submitting this questionnaire you and all members of the family/household are
agreeing to the above statements.