Puppy Questionnaire – Online

So, you think you might want to add an
English Springer Spaniel to your family?

If so, please take the time to complete this questionnaire. Your answers will permit us to effectively match a puppy's needs with your life-style and requirements. We do require that a questionnaire be completed in order for you to be considered as a forever home for one of our Springers, so please complete this document in its entirety.  All fields marked with "*" are required.

Name:*
Address:*
E-mail:*
Preferred Contact:*
Mobile Phone:
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Home Phone:
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Primary Phone:*
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Best Time to call:
 : 
Work Phone:
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Your Home:*
Fenced Yard:*
If you have a fenced yard, please describe (type Height, etc.):
Your Veterinarian's Name: *
Your Veterinarian's Phone: *
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Do you live with any other pets?*
Are they neutered?*
Where will the dog stay during the day? *
How many hours (maximum) do you anticipate the dog will be without human contact each day because of work, etc.?*
Where will the dog stay during the night?*
Where/how do you plan on having the dog cared for while you are on vacation or travelling?*
Have you ever owned an English Springer Spaniel?*
Why are you interested in owning an ESS?*
Have you ever had experience with grooming /maintenance of an ESS?*
Have you ever completed a formal training class with a dog in the past? (If so, please provide details of your experience)
Have you done your research and are you knowledgeable about the health concerns in ESS?*
Please detail any specific concerns you may have:
What are the personality characteristics you find most appealing about ESS? (check as many as apply!)
What type of ESS are you interested in? (check all that apply)
Are you interested in doing the any of the following activities with your puppy?(check all that apply)

References

This information serves the dual purpose of assisting in the verification of your form and provides an alternate method of contacting you with important information should your primary contact information change.

1st Reference Name:*
1st Reference Relationship to you:*
1st Reference E-mail:
1st Reference Phone:*
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1st Reference Address:*
2nd Reference Name:*
2nd Reference Relationship to you:*
2nd Reference E-mail:
2nd Reference Phone:*
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2nd Reference Address: *
3rd Reference Name:*
3rd Reference Relationship to you:*
3rd Reference E-mail:
3rd Reference Phone:*
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3rd Reference Address:*
Is there anything else you'd like to share with us?
How did you hear about Soaring English Springer Spaniels?*
I you heard of Soaring ESS through other, please explain.
I have read the Soaring ESS – Fairness and Equitable Value Statement and agree with it.*
Word Verification: