Puppy and Dog Questionnaire Cancel
Thank you for your interest in a Golden Retriever from Golden Melodies Kennel.
By filling out this questionnaire, as completely as possible, you will help me pick out the right puppy for you.
Please note that this form is not a reservation or guarantee of a puppy or dog. Golden Melodies Kennel reserves
the right to make the final decision on the sale or transfer of puppies and dogs. It helps me to be able to assess
a good home for one of my puppies and also helps you to get the best match for your family.
 
First Name: Last Name:
Address: City:          State - Zip      - 
Phone Home: Cell: Work:
Home Email: Work Email:          Best time to call:    
How did you hear of Golden Melodies Kennel?       Golden Owner     Advertisement     Web     Other
Why do you want to own a Golden Retriever?      
Please specify what age/sex/color of Golden you are looking for. (if you have a preference)      
If your first choice is male/female, are you willing to take a puppy of the opposite sex?       Yes     No    
What type of personality you are looking for in a puppy.      
Have you ever owned a Golden?       Yes     No     Are you looking for a pet companion or a working dog?       Pet Companion     Working Dog    
Are you a Golden Retriver Breeder?       Yes     No     Kennel Name:      
Do you have other dogs now?       Yes     No     If yes, what breed(s), sex(es), and age(s):  
How do your dogs get along with other dogs?       Excellent     Good     Fair     Poor         Is/are your dog(s) neutered or spayed?       Yes     No
Do you own cats?       Yes     No     Are they used to dogs?       Yes     No
What other animals are in the house, i.e., rabbits, gerbils, hamsters, ferrets, etc.:    
Do you consider yourself/family to be active in such a way that it would include a Golden? How?    
Have you ever trained in obedience?        Yes     No     Are you active in any AKC programs?       Yes     No    
   If yes, which ones?  
 
Veterinarian Information
Do you have a veterinarian?       Yes     No     If no, please indicate the reason:  
Veterinarian Name::        Address:        Phone:    
 
Are you willing to feed your puppy a premium food?       Yes     No    
Do you have a fenced yard?        Yes     No     Fence Height:     Fence Type:    
Describe your yard:    
What kind of accommodations do you have for the dog in the cold and in the heat?    
Is anyone home during the day?      Yes     No     Hours the dog would be alone:    
Where will the dog stay during the day when alone?  
Do you own/rent your home?     Own     Rent     Do you live in a house/apt.?     House     Apartment
Are there neighborhood restrictions on owning a dog?     Yes     No    
What do you do with your pets when you go on vacation?  
Do you own and have you used a dog crate?     Yes     No
How old are any children who will be in contact with the dog?  
Do all parties (if more than one adult in house) want a Golden?      Yes     No
Are you willing to abide by a contract that specifies matters regarding registration, health, breeding and general care?     Yes     No
 
All of our pet companion puppies are sold with AKC limited registration along with spay/neuter contracts.
This means that the dog is registered with AKC, however none of the offspring are eligible for registration.

A dog with a Limited Registration as well as a spayed/neutered dog, can compete in all AKC events except in Conformation classes.
 
Any other questions about the breed we can answer?
    
 
After reviewing your application for a puppy, I will contact you via Email as soon as possible.
 
You will be able to print your Application after submitting.