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Goldens
& Labs
364 Roemerville Rd Greentown, PA 18426
(570) 676-9947
Puppy / Family Match Up
Again, as with our puppy application, there
are no right or wrong answers. This form is simply to help make sure you
get a puppy that is suited to your lifestyle and will fit into your family
well.
Please note: If you cannot
attend on puppy selection day, please copy and paste this form to your
email editor, and then fill it out and send it to us. Or you can print
it from your computer before filling it out, and then you can send it
through the mail.
Part 1: General Information
Your Name: ________________________________
Your Pup's Gender:
A. Definitely Male
B. Definitely Female
C. Either Male or Female
After observing and interacting with the pups for a little while,
if possible, please list your puppy preferences by collar color:
1st choice pup: _____________________
2nd (if applicable): ______________________
3rd (if applicable): _____________________
The coat color / shade of my pup is
A. Not of much importance as personality and temperament are most
important to me.
B. Somewhat important as my first choice is _______________________________,
but I would also be happy with _______________________________.
C. Very important. I only want a pup of a certain color or shade,
which is __________________________.
(For Goldens)
A. Light Gold
B. Medium/Light Gold
C. Medium Gold
D. Medium/Dark Gold
E. Dark Gold
(For Labs)
A. Black
B. Chocolate
C. Light Yellow/Almost White
D. Medium Yellow
E. Dark Yellow/Fox Red
Part 2: Temperament, Personality,
& Activity Level
I prefer a pup that is
A. Relatively active to keep up with our family's active lifestyle.
B. Somewhat active to fit into our moderate activity lifestyle.
C. More laid back, sort of a coach potato, to fit into our calm and quite
everyday lifestyle.
D. Doesn't matter much as long as it is a normal, happy, and healthy pup.
I am interested in this pup as
A. Just a family pet
B. A pet, but am also interested in training it to hunt/retrieve.
C. A pet, but am also interested in agility competitions.
D. A pet, but am also interested in earning an obedience title.
E. A pet first, but am also interested in AKC conformation shows
and/or the possibility of breeding.
F. A pet, but am also interested in doing some pet therapy.
G. Other. Please explain: ________________________________________.
The pup will be left home alone
A. Rarely
B. Less than 5 hours a day
C. Between 5 to 7 hours a day
D. Eight or more hours a day
What types of recreational activities do you plan to do with your
new pup
A. Play ball/fetch
B. Swimming
C. Frisbee
D. Jogging/Hiking
E. Just hang out and watch TV together
F. Other. Please explain __________________________________________________.
How often do you plan to do these activities?
A. Every day
B. Couple times a week
C. Once a week
D. Just once in a while
Which situation best describes the relationship you plan to have between
you and your pup?
A. My dog will go with me almost wherever I go.
B. We will spend some quality time together almost everyday.
C. We will play together when I have extra time.
D. The pup will be left to entertain himself most of the time while
I'm busy with work, family, and everyday things.
Part 3: Social Skills & Pack
Order among other dogs
(You do not need to complete this section if you have no other dogs
living at home with you.)
If you currently have any other dogs at home please list how many,
and what breed(s), age(s), and the gender of each dog:
Please list Breed first, age second, and gender third.
1)
2)
3)
(Continue on back or last page if needed.)
If you currently have any other dogs at home, how well do they get
along with other dogs?
A. Great, my dog loves other dogs and plays very well with others.
B. We only have one other dog at home that does not currently have
a canine companion; however he/she seems to be accepting of new/strange
dogs when we go out in public.
C. I don't know, my other dog(s) don't have the opportunity to
interact or meet other dogs on a regular basis.
D. He/she/they like(s) some dogs and not others.
E. Not very well, but I'm hoping this will change when I bring
my new pup home.
If you currently have any other dogs at home how would you describe
their temperament / activity level?
A. Hyper or extremely active
B. High or above average activity level
C. Normal activity level
D. Below average or low activity level
Part 4: Other Miscellanies Information
Please list any additional preferences regarding your pup or anything
else you believe is important for us to know before you pup is chosen:
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