R E N A I S S A N C E - N E W F O U N D L A N D S

Thank you for your interest in our Newfoundlands. The first step in our screening process is this Questionnaire. We request that you answer the following questions. All information is confidential. Thank you for your cooperation.

Name:

Address:

City: State: ZIP Code:

Phone Number (home):

Phone Number (work):

Email Address:

What types of activities would you like the dog to be involved in:

Companion
Breeding
Draft
Tracking

Conformation
Obedience
Water Work
Other

If Other, please explain:

How much time will you spend with your dog on an average day:

Does this include time for grooming and training? yes or no

What qualities have drawn you to the Newfoundland?:

Have you owned a dog previously? yes or no

How many:

Were any of them Newfoundlands? yes or no

How many pets do you currently have in your home:

Breeds and number:

Have you ever had to euthanize a dog? yes or no

If so, why?

Are you willing to spay or neuter this puppy? yes or no

Where will the dog stay during the day:

Where will the dog stay during the night:

What type of area do you live in? Urban, Suburban, or Rural

Do you live in a house or an apartment?

Do you have a securely fenced in yard? yes or no

If not, are you willing to erect a permanent enclosure sufficient for the puppy/dog's safety and exercise? yes or no

Are you willing to take obedience classes with your puppy? yes or no

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Family Information

Are you single, married or divorced?

Children number and age:

Does anyone in your household have allergies? yes or no

Your Veterinarian:

Your Veterinarian's Phone Number:

Please add any further information that you feel would be useful in determining the best puppy for you, including your expectations for a new addition. Thank you again for your interest in our Newfoundlands.

Thank you for your interest in our Newfies!

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