You can download and print out questionnaire.  Then scan after you fill it out and email it back to me at valorgoldens@aol.com 


Or you can copy and paste the questionnaire to what ever document program you use on your P.C.

Valor Golden Retriever Questionaire-This questionnaire will be verified

Name                                                                                        Co-Owner Name


Address (street/city/state/zip)                                                   Address (street/city/state/zip)



P.O. Box                                                                                    P.O. Box


Home Phone                                                                              Co-Owner Home Phone

Cell Phone                                                                                 Co-Owner Cell Phone

Email                                                                                         Co-Owner Email

Occupation                                                                                Co-Owner Occupation

Occupation Location                                                                 Occupation Location


Why did you choose the Golden Retriever breed?  Please explain.



Who are you buying the puppy for?

If not for you, is this going to be a surprise?

When would you like your new puppy?

Do you want a male, female or no preference of gender?

Do you plan on breeding?

Where will the puppy live primarily?

Do you live in a house/condo/apartment/with relatives?

Do you own or rent your home.

If renting, is the landlord in agreement with the new puppy?

Would you and all your family be able to come meet me?

Do you have a fenced yard and/or pool?

Will the puppy live inside, outside or both?

Where will the puppy sleep at night?

Do you have children?           How old?

Does anyone living with you have allergies or asthma?

Are there elderly or disabled individuals living with you?

Do you have any pets now?

What breed or type of pet?

Are your pets neutered/spayed?  Or intact?

What breed of dogs have you owned before?

What happened to them?


Have you ever euthanized a pet?  Why?


Do you plan on spaying/neutering your dog or leaving them intact?

Have you ever had a male or female intact until maturity, and kept the pet from getting pregnant by careful planning?

I’m adamant about NO early spay/neuter until maturity.  Is that something you’re comfortable with?

I’m adamant about minimal vaccinations.  I follow World Small Animal Veterinary Assoc. Guidelines.  Are you willing to follow this?

If no one is home during the day, where will the puppy be kept?

Will you attend obedience class?

Are you thinking of an AKC sport? Agility/Obedience/Conformation?

Veterinarian Name

Veterinarian Address

Veterinarian Phone Number

How did you find me?

Any other comments?