Table 3.10.2 Golden retriever adoption questionnaire
INFORMATION TO BE PROVIDED BY SELLER | ||||
Name of Business: Website:Address: Telephone:Name of Dog (Registered):Date of Birth: Weight: □ kg □ lb Color:Identification: Microchip __________ Tattoo ________________ Collar/Tag ____________Registration (e.g., AKC, UKC, CKC, etc.):□ Show Quality □ Pet Quality □ Breeding □ Nonbreeding | ||||
Question | Yes | No | Don't know | Documents provided |
Did parents have prebreeding health screening? | ||||
Are parents' health screens in a public registry? | ||||
Are this animal's health screens in a public registry? | ||||
Has this animal had genetic health screening? | ||||
Have parents had genetic health screening? | ||||
Has this animal received regular veterinary evaluations? | ||||
Any irregularities determined by veterinary evaluations? | ||||
Are all vaccinations current? | ||||
Any exposure to infectious diseases? | ||||
Is recent parasite evaluation available? | ||||
Is this animal currently free of parasites? | ||||
Is this animal on integrated parasite control? | ||||
Any evidence of problem behaviors in this animal? | ||||
Is there a history of problem behaviors in the family? | ||||
Any evidence of allergies in this animal? | ||||
Is there a history of allergies in the family? |