May I contact you? Please indicate which
method(s) would be best:
E-mail
Snail Mail
Telephone Number
(Daytime):
Telephone Number (Evenings):
I'd rather contact you when
I'm ready
Please don't contact me
Do you own or rent your home? Own Rent
Number of adults in your household?
Age? 18-30
30-65 65+
Number of children in your household?
Ages? (check all that apply)
Infant
Toddler
Pre-School
Grade School
Middle/High School
Does anyone in your family have allergies to dogs?
No Yes
Don't know
Who will be the primary care giver?
Have you previously owned an Irish Setter?
No Yes
If yes, what happened to it?
If not, have you previously owned a dog? No Yes
When are you looking to purchase a puppy?
What traits are you looking for in this puppy? (outgoing? gentle?)
Would you consider an older puppy or adult dog?
No Yes
Maybe
If yes or maybe, what is the maximum age you would consider?
<1 Year
1-2 Years 2-4 Years
4-6 Years 6-8 Years
8+ Years
Do you have a fenced in yard?
No Yes
If no, how do you plan to control your dog? If yes, what type and height of fence
(i.e. chain link, invisible, dog run)?
If fenced, is your yard large enough for an Irish Setter to run?
No Yes
If not, how much exercise will this dog receive?
Where will the dog PRIMARILY spend it's time?
Outside Inside
Both Kennel
Reason for wanting an Irish Setter, check all that apply:
Companion
Conformation
Obedience
Field
Hunting
Breeding
Agility
How many hours per day will this dog be left alone?
1-3 3-6
6-9
If more than 6 hours will there be a lunch walk?
No Yes, by family member
Yes, by dog walker
Where will the dog be when no one is home - loose or crated, confined to
kitchen, basement, garage, yard, kennel or other?
Where will the dog sleep at night? - on your bed, loose, crated, confined to
kitchen, basement, garage, yard, kennel or other?
What would you do with the dog if you suddenly found yourself unable to keep it?
(things do happen!)
Do you currently own any other pets?
No Yes
If yes, what types, ages and temperament? Are they spayed or neutered?
Will you be spaying or neutering this dog?
No Yes
Depends
Please explain, are you planning on breeding?
What problems (health, training, behavior, etc), if any, did you have with
previous dogs?
Have you ever given a dog up to a shelter, pound or rescue group? If yes, please
explain:
Have you ever taken a dog to obedience classes?
No Yes
Do you plan on taking this puppy to obedience?
No Yes
How long do you expect house breaking to take?
Have you familiarized yourself with the characteristics of the Irish Setter?
No Yes
How much time do you expect to spend weekly on training and grooming?
<1 hour
1-2 hours 3-4 hours
4-5 hours
5-6 hours 6-7 hours
7 Plus hours
Are you willing to follow the Health Guidelines supplied by me regarding shots,
exercise and feeding?
No
Yes Maybe
If you answered "no" or "maybe", please explain:
Are you willing to stay in regular contact with me for the life of the dog and
provide updates? No
Yes
Please provide two references (one preferably your vet and #'s)
How do you plan for the puppy to get to you i.e. pickup, ship?