Prospective Owner Questionaire

Northern Lites Yorkshire Terriers

This questionaire is used for security purposes and supports 128-bit SSL encryption. All information is completely confidential and will not be shared with any other party unless permission is given to me by the person who fills out this questionaire.


Please submit your questionaire and on the next page enter the numbers listed and click on submit.

Please provide the following contact information.
 An Asterisk * denotes required fields.

*Name First
*Name Last
City
*State/Province
Zip/Postal Code
Home Phone
Work Phone

May we call you? If yes is checked please enter your phone number. Yes
No - If no is checked we will not respond through email, you must call us please.
*Email
The questions below are not mandatory but would be appreciated if filled out.

1. Are you primarily looking for a 3 to 6 month old puppy?

2. Are you interested in an adult or retired yorkie?

3. Have you ever owned a Yorkshire Terrier?

4. If you had a yorkie in the past what happened to him or her?

5. Why is a Yorkshire Terrier the breed of your choice?

6. Do you prefer a male or female and why?

7. Do you have other pets? What is the breed and sex? Are they spayed/neutered?

8. Do you have any children?

9. If you have children what are their ages?

10. Do you have a fenced yard?

11. What time periods during the day will your Yorkshire Terrier be left alone?

12. A Yorkshire Terrier needs interaction, do you feel you are capable of providing these needs?

13. How many total people live in your household?

14. If you rent is your Landlord in agreement with your acquiring a dog?

15. Spaying/neutering (fixing a dog) would be required as part of the contract would you agree to this?

16. What size yorkie are you looking for?

17. What time frame are you looking to purchase a yorkie?

18. Do you plan to ship your puppy?

19. What is your price range?

20. Have you ever had to surrender or return an animal? If so please explain why?

21. We require two references, Please include their name, phone number and or email address.

Reference #1
Reference #2

22. How did you find us? (Internet search engine, Family Member, Neighbor etc..)

23. Questions and comments welcomed.

Thank you for taking the time to answer these questions.We use this form for interview purposes before refering potential buyers to reputable breeders.

When purchasing a puppy from a breeder make sure your allowed into their home. If they have accuses turn away or go later when you can see the puppies surroundings and the condition of the home. Breeders that are in clubs does not guarantee the ethics of a breeder.

 

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