Your Name:
Full Address: (optional)
Occupation: (optional)
2. Do you live in a House, Condo, Townhouse, Apartment, other?

3. Are you ready to take puppy home at this time?

5. Do you have color preference?

6. Do you have size preference fully grown? 

*There is no weight limit in Havanese breed standard, there is only limit for height 8 1/2 - 11 1/2 inches at the shoulders. 
Smaller Havanese 8-10 lbs, medium Havanese 11-13 lbs, larger Havanese 14-17 lbs should all be within height limit per Havanese breed standard.


8. What pets do you have now?

7. Age of each member of the household?

 4. Would you be able to pick up a puppy from Fallbrook, North San Diego County in        Southern California? (I-15 freeway & 76 intersection)

9. Do you have a preference for a male or female puppy? 
11. Are you willing to sign a spay/neuter contract if purchasing a pet?

10. Do you plan on breeding your Havanese?

12. Do you have a fenced yard secure enough to hold a small dog? 

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. 
You should see "Thank you.... Your information has been submitted" after you click on Submit button below. 
Nevena Havanese "Getting to know you" Puppy Questionnaire  

13. Do you have age preference? 
      Are you looking for younger puppy (8-16 weeks old), older puppy (4-12 months old), or an adult?

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

 15. Do you know how to housetrain a puppy?
 1. Are you interested in Havanese for companion, show, agility, obedience, therapy, breeding?
 19. If you have any questions, please do not hesitate to ask in the space provided below!           

 16. 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? 

 17. 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: (optional)
Thank you for filling out my questionnaire.  By clicking on the "Submit" button bellow, this form will go to my E-mail address. I will try to get back to you as soon as possible. 
If you do not see "Thank you.  Your information has been submitted " after you clicked on Submit button below, please Contact Us and request Puppy Questionnaire to be sent to you via e-mail.

 18. How did you hear about us? 

City and State: (required)