Brylee's Angels Havanese
Puppy Questionnaire
Thank you for your interest in our dogs. We appreciate your answering the following questions so that
we can better select the right puppy for you. All information is confidential and used only by us.
Thank you for your cooperation and help in answering our questions.

Street Address:

City, State, Zip:



Good time to reach you?

How were you referred to us?

Preferred Sex:

Preferred Color:

Are you looking for a puppy for....

If for show, have you shown a dog to its' championship previously?

What qualities do you like about Havanese?

Is this your first Havanese?

Is this your first dog?

How many pets do you currently have? (Please list type, breed, age, sex, neutered or spayed?):

Have you ever: Given a pet to a pound/shelter or given away a pet?
If yes, what were the circumstances?

How long did your last pet live? What were the circumstances of its' death?

Are you committed to caring for this dog for its' lifetime?

Are you willing to spay/neuter this dog?

If not…Why?

Are you willing to sign a Non-Breeding Contract for this dog?

Do you understand the difference between Limited Registration and Full Registration?

Do you have a Fenced Yard?

If not, what are your potty plans for this dog?

Will anyone be home during the day to care for the puppy?

On average, how many hours per day will the puppy be left alone?

Have you ever potty trained a dog?

Where will the dog stay during the day/night?

Are you aware that this is an "indoor" breed and cannot be left outside for extended periods of time?

Are you aware of the grooming requirements for this breed?

Do you plan on attending any training classes for your puppy?


Number of Adults and Children in your home?

Ages of Children?

Any references, Vet, groomer, etc?

Please use this space to ask any questions you have for us and to add further information you wish us to consider in placing one of our puppies with you. We would appreciate if you would give us a little insight into the expectations you may have for this new addition to your family. Thank you again! Your interest is deeply appreciated.