Assisi Clumber Spaniels - Dedicated to Respectful Clumber Relationships
If you are considering a Clumber, or are interested in a Clumber Puppy, please take a few moments to fill out this general questionnaire. If you have questions or want specific info, please email us.

The default for yes/no answers is set to yes.  Please read the questions carefully and make changes to "no" as needed.  While this questionnaire may seem lengthy, these questions are VERY important ifor us and our potential owners, so PLEASE COMPLETELY FILL OUT THIS FORM.   We'll be back with you soon!
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?





Who are you purchasing the dog for?


What Type of Clumber Do You Want?



Would You Prefer Your Clumber to be:


If you want a show Clumber, have you shown dogs?



If you have shown another breed, what breed; did any of your dogs obtain their Championship?
Are you interested in breeding your dog?

Pets are placed on a spay/neuter agreement. Do you have a problem with this?

If you answered yes to EITHER of the above, tell us why you may want to breed your dog.
Have you owned Dogs Before?

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







What is your main consideration when choosing a dog?





Do you have a fenced in yard?




Which best describes your home?



Do you Own or 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?


How long will your dog be left alone each day?



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?

If so, would you please provide his name and phone number as a reference?
What made you decide on a Clumber?





If you chose other, please explain.
Your expectations of your Clumber's breeder?




Would you like to visit with us?

Could we visit your home?

When is your timeframe for bringing home a puppy?




Have you spoken with any other Clumber Breeders, and/or are you on a waiting list?

If yes, who?
If we have no puppies, would you like us to share your information with other breeders?

Please list your phone number if you prefer to be contacted by phone.
Do you have any questions, or comments?

Please type the text
that appears in the
picture below: