Puppy Questionnaire. This form helps us to determine the best possible homes for our puppies. Please help us and yourselves, by filling out the form and answering ALL of the questions.

Your first AND last name(s):

Your age(s) please

Have you chosen a veterinarian and if so, please tell us his/her name and the name of the clinic

Your home phone number (with area code)

Best time to contact you:

City, Province/State:

How long have you lived at your current location:

Which best describes your home:

Do you have a fenced yard? If so, how high is it and what material is it made from?

At your present location, do you

If you chose "other" as an answer for the question above, please explain:

How many people live in your home:

Do you have children:

TWO PART QUESTION: 1) Do you have any other pets living in your home and if so, how many and what kind? If you have had pets and no longer have them can you explain what has happened to them? 2) Have you ever surrendered a pet to a shelter and if so, why?

What is your primary interest in owning a Boxer:

If you chose anything other than "show prospect" or "breeding program", are you willing to sign a legally binding CKC non-breeding/spay-neuter contract?

What made you decide to look into purchasing a Boxer:

When are you hoping to add a Boxer to your family:

What are you looking for in a Boxer?

Where would your Boxer spend the majority of it's time:

How many hours would your Boxer be alone during the day:

Where would your Boxer spend it's time while he/she is alone:

Please provide us with 2 personal references along with their name, telephone number and how long you have known them (ie: veterinarian, friend, co worker, family member):

Additional comments or information (help us to help you):

Your email address:

Thank you for taking the time to complete this questionnaire.
It shows that you are serious about purchasing a Boxer puppy from Bolerame Boxers.
Please be aware that we may ask more questions by email or phone. Our main concern is that our puppies go to responsible FOREVER homes with owners who will give them the very best love and care.

Lena of Bolerame Boxers Reg'd

	colour			markings			age
	fawn	brindle	white	flashy	semiflashy	plain	puppy	adult	either
male
female
either