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?
