Your Name ______________________________________    Dogs Name ___________________________

 

Dogs Mother ______________________________      Dogs date of Birth ___________________________

 

       *I am sorry the dog passed away on ___________ due to __________________________________________________ 

* If you had to fill this part out we are very sorry about your loss, but we do need to know this info especially if at all possible as to what caused it, this is for our breeding program so we can

stop breeding a line with potential issues, also so we can note our files so we do not send you future notices for updates.  You do not have to fill out the below info, again we are very sorry! 

 

1.  HAS YOUR DOG/PUP HAD ANY SERIOUS MEDICAL ISSUES?  NO  YES (if yes please explain)

_________________________________________________________________________________________

________________________________________________________________________________________ 

2. ARE YOU SATISFIED WITH THE TEMPERMENT OF YOUR DOG/PUP?     NO  YES (if no, please explain)

_________________________________________________________________________________________

3. DO YOU FEEL YOUR DOG/PUP IS INTELLIGENT? (quick learner)               NO  YES (if no, please explain)

_________________________________________________________________________________________

4. ARE YOU SATIFIED WITH THE COLOR & SHAPE OF YOUR DOG?          NO  YES (if no, please explain)

_________________________________________________________________________________________ 

5.  WERE YOU SATISFIED WITH THE WAY WE RAISED YOUR PUP?            NO  YES (if no, please explain)

_________________________________________________________________________________________

6. COULD WE HAVE DONE SOMETHING BETTER?                       NO  YES (if yes, what, please be honest)

_________________________________________________________________________________________

Potential buyers of our puppies like referals, is it ok to share this sheet with them?        NO    YES   If yes, they might

like to talk directly with you about your experience.  If ok please include a contact number.   All buyers will be screened

by us, typically we will dial your number, tell you it is us, & then hand the phone to them to talk.  PHONE_________                     

 

MOVED: my new address is __________________________________________________________________
_________________________________________________________________________________________
SOLD:   new owner is (please, include address) ____________________________________________________

_________________________________________________________________________________________

OTHER: Info I feel is important ________________________________________________________________

_________________________________________________________________________________________

E-MAIL:  __________________________________________________________________________________

                                            THANK YOU FOR YOUR TIME!!!!  SINCERELY ALICE BROWN

 

 

20___MEDICAL UPDATE FORM
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