1. What is your E-mail Address
  2. What is your First AND Last name?
  3. What City AND State do you live in?
  4. What made you decide to purchase a Cavalier King Charles Spaniel? 

  5. Have you ever owned a Cavalier King Charles Spaniel?
    Yes    
    No     
     
  6. Are you married?  
    Yes    
    No     
     
  7. Do you have children? 
    Yes    
    No     
     
  8. If so what are their ages (please type ages in box provided)?


     
  9. Is anyone in your family a special needs child/adult (i.e., ADHD, autism, in need of a cane, etc.)?  If so, please explain in as much detail as necessary for making a puppy placement decision (in the box provided below).
    Yes    
    No     
  10. What type of work do you do and who would be the primary care giver, for your Cavalier King Charles Spaniel? 

     
  11. How long will the dog be alone during the day?
  12. Do you have a fenced yard?
    Yes    
    No     
  13. Please tell me your plans for housing and exercising your Cavalier King Charles Spaniel.
  14. Do you currently own any other dogs, pets, etc?  If yes, please list them below along with breed age, sex and spay/neuter status.
  15. If you currently do not own any dogs, can  you tell me about your past exposure to dogs and dog ownership. 
  16. Does anyone in your family have allergies?  If so, please explain in detail.  (Cavaliers do shed).
  17. What type of hobbies do you currently participate in?
  18. Have you ever had to return or remove a dog from your care,
    because of problems with temperament or personal changes in your lives?
    If yes, please explain.
  19. Do you plan on participating in any of the following activities with your Cavalier King Charles Spaniel.
    (Please answer YES or NO to all):
    Agility
    Breeding
    Conformation
    Family Pet
    Obedience
    Tracking
    Therapy
    Other
  20. Are you are aware of the health problems that are possible within the Breed?
  21. Have you read any books or articles about the breed?
  22. Do you prefer a male or female? Please state why?
  23. Do you have a color preference?
  24. Are you a member of any Dog Breed Clubs?