DATE
              
             
          
                
                
                  
                    MM 
                   
                
                
                  
                    DD 
                   
                
                
                  
                    YYYY 
                   
                
               
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              NAME
              
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                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              ADDRESS
              
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              TELEPHONE NUMBER
              
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              EMAIL ADDRESS
              
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              WHERE WOULD YOUR DOG BE WHILE YOU ARE AT WORK?
              
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                At a doggy daycare?  In a crate?  In a run in the backyard,or other?  Please specify.
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              HOW DID YOU HEAR ABOUT FLAWLESS STAFFORDS?
              
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              HAVE YOU OWNED A DOG BEFORE? 
              
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                If yes, what breed?  How long did you own?
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              WHY ARE YOU INTERESTED IN THIS PARTICULAR BREED?
              
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              HAVE YOU READ ANY INFO ON RAISING A PUPPY?
              
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              WHAT ARE YOUR ACTIIVITIES OUTSIDE WORK? PLEASE DESCRIBE WHAT YOU EXPECT TO DO WITH YOUR DOG? 
              
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              ARE YOU PURCHASING THE DOG FOR OBEDIENCE, FIELD WORK, AGILITY, GUARDIAN, COMPANION, SHOWING, BREEDING OR OTHER?
              
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                Please specify
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              DO YOU PLAN TO SPAY OR NEUTER YOUR DOG? 
              
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              If no, why not?
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              DO YOU LIVE IN A CONDO, APARTMENT, HOUSE ON CITY LOT OR ACREAGE?
              
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              DO YOU OWN YOUR HOME, OR ARE YOU RENTING?
              
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              DO YOU HAVE A FENCED YARD?  IF SO,  HOW HIGH? 
              
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              WHERE WILL THE DOG LIVE? OUTSIDE OR INSIDE? 
              
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              IF OUTSIDE,  IN A DOG HOUSE AND RUN?  A FENCED SAFE AREA OUTSIDE?  TIED OR CHAINED OUTSIDE?  CONFINED IN A SHED OR BARN FOR PART OF THE DAY? 
              
             
          
                Please specify
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              WHERE WOULD YOUR DOG GO IF YOU WENT ON VACATION?
              
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              WHERE WILL YOUR DOG SLEEP AT NIGHT?  BESIDE YOUR BED IN A CRATE?  IN YOUR ROOM IN A CRATE?  IN THE BASEMENT IN A CONFINED AREA?  IN THE PORCH OR OTHER CONFINED AREA?  OUTSIDE IN A RUN WITH A DOG HOUSE? 
              
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              HOW MANY CHILDREN DO YOU HAVE AND HOW OLD ARE THEY? 
              
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              WHAT OTHER PETS OR LIVESTOCK DO YOU HAVE? 
              
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              HOW MUCH DO YOU THINK IT COSTS TO CARE FOR A DOG PROPERLY? 
              
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              HAVE YOU EVER TAKEN DOG OBEDIENCE COURSES? 
              
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              DO YOU PLAN TO TAKE OBEDIENCE COURSES WITH THIS DOG?  
              
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              WHAT SEX OF DOG DO YOU PREFER?
              
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              Why?
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              WHAT COAT PREFERENCE DO YOU PREFER?
              
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              HOW DO YOU PLAN ON EXERCISING YOUR PUPPY? 
              
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              HOW MUCH EXERCISE DO YOU THINK THEY REQUIRE?
              
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              WOULD YOU VACCINATE YOUR PUPPY AND HAVE YEARLY VET EXAMINATIONS? 
              
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              ARE YOU WILLING TO FEED THE BEST QUALITY FOOD RECOMMENDED BY THE BREEDER?
              
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              DO YOU OR ANYONE IN YOUR FAMILY SMOKE IN THE HOUSE?
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              WHAT WOULD BE A TYPICAL DAY FOR YOUR FAMILY?   
              
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                Please outline a work day and then a weekend.
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              ARE YOU WILLING TO ALLOW THE BREEDER TO DO A HOME CHECK BEFORE BRINGING YOUR PUPPY HOME?
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              HAVE YOU EVER HAD TO GET RID OF A DOG OR TURN ONE OVER TO THE SPCA? 
              
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              PLEASE PROVIDE 2 REFERENCES, WHO KNOW HOW YOU ARE WITH ANIMALS.  YOUR VET IS USUALLY A GOOD ONE.