For More Information
Please copy, fill out and get this form back to me if you are
interested in one of my puppies. You can either email it to
firstname.lastname@example.org or snail mail it to :
6575 Donegan Ct.
Bloomfield Hills, MI 48301
6575 Donegan Ct
Bloomfield Hills, Michigan 48301
email address: email@example.com
Prospective Puppy Owner Questionnaire
Home phone #: Cell Phone #:
· Sire & Dam of litter you are interested in:
· What kind of puppy are you looking for? Male show quality________
Female show quality__________
Male pet quality ________ Female pet quality __________
· Do you have any children in your home? If yes, what ages?
· Have you ever raised a puppy? If yes, how long ago?
· Who will be the primary care giver?
· Have you ever owned a Berner before?
· Have you had a dog that died? What age? What cause?
· Are you aware of the short life span and health problems associated with
(If not the National club has excellent articles on their web site at www.bmdca.org)
· Will you be attending any obedience classes?
· Will you be crate training?
· Do you have a fenced yard or exercise plan?
· Please list all your current pets, include breed age and sex:
· Feel free to add any additional information about yourself and family or any
comments you may have: