Rosethorn Newfoundlands - Denholm, Saskatchewan

Dr. Shawn & Julie Haas
Box 36
Denholm, Saskatchewan
S0M 0R0
Canada
306-446-0090

Questionnaire

Potential Client Information

Thank you for your interest in our Newfoundlands. To better select the right puppy for you, we request that you answer the following questions. All information is confidential. Thank you for your cooperation.

Contact Information:

Name:	Phone:	(home)
Address:		(work)
City:	Fax:
Postal Code:	Email:

Type of Rosethorn Newfoundland:

Type of animal you are looking for:

Adult

Puppy

Male

Female

Black

Landseer

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

Companion

Conformation

Breeding

Obedience

Draft

Water Work

Tracking

Other:

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

Does this include time for grooming and training?

Yes

What qualities have drawn you to the Newfoundland?

What qualities concern you?

Pet History:

Have you owned a dog previously?

Yes

If yes, how many ?

Were any of them Newfoundlands?

Yes

How many pets do you currently have in your home?

Species and number:

Have you ever had to euthanize a dog?

Yes

If so, why?

Are you willing to spay or neuter this puppy?

Yes

If not, why?

Location Information:

Where will the dog stay during the:

Day:

Night:

What type of area do you live in?

Urban

Suburban

Rural

Residence:

House

Apartment

Do you have a securely fenced yard?

Yes

Family Information:

Single

Married

Divorced

How many children do you have?

Ages:

Occupations of adults:

Does anyone in your household have allergies?

Yes

Veterinarian:

Name:

Phone:

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.