Dear Puppy Client,

Please complete this questionnaire so that we can more easily select the right puppy for you, and thanks for choosing LongMeadow Chesapeakes!

~ Laura Chambers



Puppy's Gender
 
 
Puppy's Color:
 
 
     
Puppy Type:
 
 
     
Puppy's Energy Level
 
 
Time Frame
 
     
 

Other Pets:

Number of Other Pets    
Type:  
Ages:  
Neutuered / Spayed:  
Male / Female:  
Purchased Through a Breeder?
 
Other:  
Special Problems:  


Household Members :

Number of Adults:

   
Names & Ages of Children:  
Special Considerations:  

Puppy's Home:
 

Breeding

Plan to Breed?
 
 
 
Neuter / Spay?
 
 

Puppy Temperament

What Qualities Do you like in the Chesapeake Bay Retriever?    
What Qualities Don't you like in the Chesapeake Bay Retriever?
 
 
Comments And Additional Information?  
Your Email Address      
Your Name

 
 
Address

 
 
City

 
 
State    
Zip    
Home Phone    
Alternate Phone