Your Name:
Home Address:
E-mail:
Occupation: (if none or housewife, what is your husband's occupation?)
2. Do you live in a House, Condo, Townhouse, Apartment, other?

3. What is the timeframe in which you will be wanting a puppy?

5. Do you have any color preference?


6. What draws you to Havanese?

10. Have you ever owned dogs before? What kind and how long?    

9. What pets do you have now?

7. Ages of adults and children in your household:


13. If a puppy of this gender is not available, would you consider one of the opposite sex?
1. Would you be able to pick up your puppy from Las Vegas,NV?

12. Do you have a preference for a male or female puppy and if so, why?
15. Are you willing to sign a spay/neuter contract if purchasing a pet?

14. Do you plan on breeding your Havanese?

16. Do you have a fenced yard secure enough to hold a small dog? If not, how will you provide        security for the puppy when it is outside or when you are not at home?

Thank you for your interest in our Havanese puppies. We appreciate you taking the time to complete the following questionnaire. It will help us get to know you, and to try to match you with the appropriate puppy. Completing this form allows us to better serve your needs.
Please complete the form below and then send to our email address by clicking on the "Submit" button at the end of the questionnaire.

Nevena Havanese "Getting to know you" Puppy Questionnaire 

17. Where will your puppy spend most of its day? What about night time?

18. How many hours per day will the puppy be left without human company?

19. Do you know how to housetrain a puppy?
4. Are you interested in Havanese for companion, show, agility, obedience, therapy, breeding?
22. If you have any questions, please do not hesitate to ask in the space provided below!                Thanks for filling out my questionnaire.  By clicking on the "Submit" button, this form will          go to my E-mail address and I will try to get back to you as soon as possible.

8. If your children are young, do you and they understand a Havanese pup is quite fragile
   until about 6 months of age despite its boisterous and playful actions?


11. If you do not own the dog any longer, why not?

20. Are you aware of the costs involved in veterinary care, including spaying and neutering,            purchasing a good quality dog food, boarding the dog when you are a way, etc?

21. Are you aware that you are taking on the responsibility of another living creature who will          for the rest of its life, be dependent upon you?

Phone Number:
If you are AOL user, you might have problem submitting this questionnaire. After you have gotten online via your AOL dial-up, just minimize your AOL window, then double click on Microsoft Internet Explorer or Netscape to open it up. Then, in the address bar at the top type in: http://www.nevenahavanese.com/PuppyQuestionnaire.html ,
fill out the Questionnaire and click on Submit button. If this sounds too complicated, please click on Contact Us and request Puppy Questionnaire to be sent to you via e-mail.
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