FAMILY QUESTIONNAIRE
REFERRED BY / HOW I FOUND SITE
NAME:
ADDRESS:
CITY:
STATE:
Email:
Veterinary Name & Phone number
PHONE#
CELL PH#:
My Occupation is
I WORK
 HOURS PER WEEK.
Spouse/Significant other's NAME
Their Occupation
Number of Adults in household
 Number of children
Names and Ages of Children
Where will dog be kept when no one is home?
Do you or any family member have allergies?
Is someone home during the day?
Will an allergy test with a Hairless be needed?
How many hours per days/week will dog be left alone?
Show / breeding dogs are sold with a show-to-title contract. Pets are sold with a Spay/Neuter contract.
I prefer:  Show/Breeding prospect
Pet Only, which will be altered
I am a Breeder
 My Kennel name is
Breeder-to be
 Not a Breeder, dog will be altered
GENDER preferred:  MALE
FEMALE
EITHER GENDER
What age dog are you interested in acquiring?
The dog will live INSIDE
I am interested in a Rat Terrier.

I am interested in a Hairless.

I am interested in a Coated Carrier.
OUTSIDE
BOTH
Are all family members in agreement on a RAT Terrier or Hairless? YES
 If NO please explain:
Who will be the primary caregiver of the dog?
If you rent, what is the pet policy?
I own my home

I rent

Apartment

Condo


My yard is fenced

No fencing
Please explain how your dog will be exercised and allowed to “go potty”?
How many dogs do you currently own? Are they altered? List the breeds  
How many cats do you currently own?  Are they altered? List the breeds
Other pets (birds, fish, horses, etc)
How have your past pets been trained?  What is your pet training philosophy?
If you don’t currently own a pet, how long has it been that you owned one?And what type animal was it?  
What happened to the pet?
RAGANRAT TERRIER KENNEL – RAT TERRIERS & AMERICAN HAIRLESS TERRIERS
                                    PRE-SALE FAMILY QUESTIONNAIRE

Thank you for your interest in our terriers. It can be a daunting task to find the perfect canine companion.
On the flip side, it is of utmost importance we know more about a potential home where one of our
canine family members may live. We appreciate you taking time to fill-out this form, so we may get to
know you better, which is the first step in the approval process. After you have submitted this form to
raganratters@yahoo.com , then we would like to speak with you by phone or schedule a time for you to
visit our home and meet us and our dogs!