1. How did you receive my contact information (web search, ESSFTA breeder referral, other)?
   
   
   
2. Why have you decided that you want an English Springer Spaniel?
   
   
   
3. Have you researched the breed, if so how?
   
   
   
4. Have you owned a dog in the past? If so what breeds have you owned, how long did the dogs live with you, and what has happened to the dogs?
   
   
   
5. Do you own any dogs or other pets right now?
   
   
   
6. How many people live in your household? (Please include grandchildren that will be around the puppy) What are the ages of any children?
   
   
   
7. What type of dwelling do you live in? If you rent, will you be allowed to have a puppy?
   
   
   
8. Is your yard fenced? If you don't have a fence, what arrangements have been made for the puppy to be outside?
   
   
   
9. Who will be the primary caretaker of the puppy?
   
   
   
10. Are you willing to crate train your puppy?
    
    
11. Are you willing to take your puppy to puppy and basic obedience classes?
    
    
    
12. Are you willing to follow a holistic diet and health care if you are provided with the information?
    
    
    
13. Are you willing to do the grooming that a springer requires?
    
    
    
14. Are you willing to spay/neuter your puppy?
    
    
    
15. What activities do you plan to do with your puppy?
    
    
    
16. Do you want a puppy for competition (show, obedience, agility, hunting)?
    
    
    
17. Do you have a preference as to sex and color of your puppy?

Write a brief description of what kind of puppy you want and what you expect from your new puppy.

Please provide the following contact information:
Name:
Address:
Email:
Phone:
Veterinarian reference:

:

Thank you for filling out the questionnaire.

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