This page was last updated on: January 12, 2012
Passion For Gold's Questionnaire

For people interested in obtaining a Companion-Puppy
From the Roxy & Rugby breeding,
born Dec. 2011
Or our litter planed for Spring 2012. More info soon.
Please fill out the fields as realistically as possible, avoiding "sugar-coating".  But feel free to elaborate. 
The more information we receive about your expectations from a puppy, and how it will fit into your life style,
the better we will be able, to match you with the right puppy. 
Please expect that the cost to obtain a Passion For Gold Golden Retriever Puppy will be $1300.00.
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Tel. # 's
Email:
Where will your puppy be living?  Please mark all that apply:
How do you plan to fill your puppy's / dog's need for exercise?  Please mark all that apply:
Are you a breeder interested in a show quality puppy?
Are you interested in a puppy as a family companion?
Are you planing to spay or neuter your puppy?
Please enter your preference for the sex of your puppy:
Please enter your preference for the color of your puppy:
Please enter your preference for the size of your puppy/dog:
Please describe the preference you have in the temperament of your puppy:
Would you like me to email you information about any upcoming litters?
Thank you for taking the time to fill out the Questionnaire!
Are you intersted in a well trained, adult Golden Retriever?
Are you interested in a Puppy out of a particular litter ?
Heike Stroup
Passion For Gold
GoldenR01@aol.com
Clarksville, TN.
931-553-0026
Do you have other Adults living in your Household?
Do you have Children living in your Household? Please enter their ages.
Why have you decided that the Golden Retriever is the breed you wish to own?
Where will your puppy be living?  Please mark all that apply:
Who will be responsible for the care and training of your puppy?
What are your plans for the house training of your puppy?
How do you plan to fill your puppy's / dog's need for exercise?  Please mark all that apply:
Would someone be home with the puppy during the day? Please explain:
Are you interested in taking puppy classes, obedience training, or attend other activities with your puppy?
Please explain:
Please describe how you would like your new puppy to fit into your family/ lifestyle.
Expectations you may have from your puppy.
Please also list anything else that you may want me to know.
Please describe the preference you have in the temperament of your puppy:
Are you interested in showing this puppy in dog show events?  Please explain:
Have you owned a Golden Retriever, or other dogs before? Please list all.
What pets are currently living in your household?
If you are interested in a show/performance puppy, please also email me: GoldenR01@aol.com
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Clarksville, TN.
With us indoors
Outside in a kennel
Fenced in yard
Outside in a country setting
Fenced Yard
Kennel
Home in country setting
Large fields near by
Jogging partner
Leash walking
Ball playing
Swimming
Other, as listed below
YesNo
YesNo
YesNo
FemaleMaleI have no preference
SmallerMediumLargerI have no preference
LighterMediumDarkerI have no preference
YesNoEmail Contract
YesNo
Winter 2012
Spring 2012
Ether