Irish Terrier Breeders - AKC Breeder of Merit

Puppy Questionaire

Please answer each question as fully and thoughtfully as possible. This will help us to determine the characteristics of the puppy who will best become a positive addition to your life.

Name:________________________________________ Address:___________________________________________

Email address:_____________________________ Phone numbers: Hm_________________ Cell________________

Occupation:_________________________________________________________ Work phone:__________________

Have you owned an Irish Terrier before?_______________________Number of Years?________________________

            If not, what breeds have you owned?____________________________________________________________

            Do you prefer a male or a female?______________________________________________________________

What other pets do you have in the home?____________________________________________________________

Do you own your home or rent?_______Do you have a fully fenced yard?________ Type of fence?_____________

Height of fence?____________ How long have you resided here?__________

Are there Children in your family?______________Number?_____________Ages?___________________________

Will you contact your veterinarian and provide permission for us to ask him/her for a reference for you?

Veterinarian name:____________________ Phone number:________________________

How many dogs have you owned in the past five years?_________________What has happened to these dogs?_


Where will your dog spend his/her day?______________________________________________________________

           How many hours will the dog be alone each day?_________________________________________________

           Where will the dog spend the night?____________________________________________________________

How will you handle grooming?_______I know how to hand strip?

                                                      _______I want to learn to hand strip

                                                      _______I will pay a professional groomer to hand strip

How will you handle ear training?____________________________________________________________________

What are the most important qualities you are looking for in a dog?_______________________________________


How will you provide for your dogs need for out door exercise?__________________________________________

Are you interested in any of the following activities with your dog? Please number in order of importance or indi-cate "No" if not interested: Companionship_____Confirmation showing_____Agility_____Obedience___________


Thank you for your efforts in filling out this form.

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