Your Name:
Home Address (optional):
E-mail:
Occupation: (optional)
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. Do you have any size preference?

   

9. What pets do you have now?

7. Ages of adults and children in your household:


 4. Would you be able to pick up your puppy from Las Vegas,NV?

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

11. Do you plan on breeding your Havanese?

13. 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  

14. Do you have age preference? Are you looking for younger puppy, older puppy, young adult?

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

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




 17. 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? 

 18. 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 having problem submitting this questionnaire , please contact us at nevenahavanese@gmail.com and request Puppy Questionnaire to be sent to you via e-mail
     Thanks 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.

 19. How did you hear about us? 

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