QUESTIONNAIRE FOR PROSPECTIVE FAMILIES

Blue Ivy Bernese Mountain Dogs

I like to get to know the families my fur babies go to. This questionnaire will also enable us to make the best match possible to suit the dog and your lifestyle. Please provide as much information as you can.

GENERAL INFORMATION

Name:

Street address:

City: State: Zip:

Telephone (home and cell):

Email address:

Referred by:

How many people live in your home?

Adults (ages) Children (ages)

Have you ever owned a BMD before?

Do you currently own any BMD or other dogs?

If yes, how old are they and what is their breed/size?

Do you have any other animals at the present time? If yes, what type of pet?

What research have you done on the breed?

Have you ever had a dog with health issues? (Please list):

Have you ever had a dog that you had to give away or return to the breeder?

TYPE OF DOG DESIRED

Please check your preference: _______ Male ______ Female _______ No preference

If you have a sexual preference for your dog, please specify why:

HOME ENVIRONMENT

Will your BMD be a pet or a member of the family? Please describe how animals and people coexist in your home:

Describe where your BMD will live:

Describe where your BMD will sleep:

How many hours in an average day will the dog be alone? What is your typical daily schedule?

How large is your yard?

Is your yard fenced? (Describe)

attention on a regular basis?

HEALTHCARE

Do you understand that Bernese mountain dogs, like many purebred and large breed dogs, are susceptible to different health issues? As hard as breeders try to breed good healthy dogs there's no guarantee that puppies will not develop any health issues throughout their life.

If your dog does develop health issues are you willing to get them the treatment they need?

MISCELLANEOUS

If you go away on vacation and cannot take your dog, have you considered any arrangements for the care of your dog while you are gone?

If yes, please explain:

Is there any other information you would like us to know?