Prospective Owner Questionnaire
What is Your Full Name (First and Last)
City
State
Country (if not USA)
E Mail Address REQUIRED for reply
How did you find our website?
Business Card Link From Breeder Site Other Clumber Site Referral By Other Breeder Web Search Word Of Mouth
Who are you purchasing the dog for?
As a Gift Myself Our Family
What Type of Clumber Do You Want?
Female Puppy Male Puppy No Preference Unsure; I need more information
Would You Prefer Your Clumber to be:
Lemon and White Orange and White Undecided
If you want a show Clumber, have you shown dogs?
I have never shown dogs, but want to learn I just want a pet Yes, I've shown another breed Yes, I've shown Clumbers
If you have shown another breed, what breed; did any of your dogs obtain their Championship?
Are you interested in breeding your dog?
yes no
Pets are placed on a spay/neuter agreement. Do you have a problem with this?
yes no
If you answered yes to EITHER of the above, tell us why you may want to breed your dog.
Have you owned Dogs Before?
yes no
Are there pets in your home now? If so, tell us about them
What happened to your last pet?
What is your primary interest in adding a Clumber
Agility Work Hunting Dog Hunting/Tracking Competition Obedience Work Pet/Companion Show Therapy Dog Watch/Guard Dog
What is your main consideration when choosing a dog?
Amount of Care/Exercise Required Appearance Availability Breeder Pedigree Price
Do you have a fenced in yard?
Adding One Soon Electronic Fence No We have an alternative to fencing. Yes
Which best describes your home?
Condo/Townhouse/Apartment House in the City House in the Country House in the Suburbs
Do you Own or Rent?
Own Rent
How long have you lived there?
Do you have children who reside with you? How many and ages?
Where will your dog live and/or spend most of its time?
Inside Other Outside
How long will your dog be left alone each day?
1 to 4 hours per day 4 to 6 hours per day 6 to 8 hours per day More than 8 hours
Where will you leave the dog when it?s alone? Ex: Crate, Kennel, Confined Area/Room, Yard.
Do you have a Veterinarian who services you have used in the past?
yes no
If so, would you please provide his name and phone number as a reference?
What made you decide on a Clumber?
Friend owns one Looks Other Owned one or own one now Temperament Watch/Guard Dog
If you chose other, please explain.
Your expectations of your Clumber's breeder?
Advisor Friend Mentor No relationship after purchase Salesperson only
Would you like to visit with us?
yes no
Could we visit your home?
yes no
When is your timeframe for bringing home a puppy?
As soon as possible No set time Within 2 to 3 months Within 3 to 6 months Within 6 to 12 months
Have you spoken with any other Clumber Breeders, and/or are you on a waiting list?
yes no
If yes, who?
If we have no puppies, would you like us to share your information with other breeders?
yes no
Please list your phone number if you prefer to be contacted by phone.
Do you have any questions, or comments?
Please type the text
