Anna B Rose Brittanys Questionairre

When we plan puppies, we try to place them in the right, loving, committed homes for them. We do our best through this questionnaire and other means, to guarantee a good match with their new families. Our puppies are home raised and are well cared for and socialized during their time with our family of 2 boys. As much as possible, we evaluate each puppy's temperament and personality by our observing their development. We welcome you to come and do your own temperament and "birdiness" tests also. You do need to realize that when the puppies go to their new homes that they are still puppies and will have accidents and get into mischief that will need correction. We expect our owners to finish the job we have started and help our puppies to be well-mannered members of the community. They will need training, guidance, proper discipline but most of all lots of love and family time. We recommend you take obedience classes or at least a puppy class and that you crate train.

This questionnaire serves the purpose of helping us to get to know you and what you are looking for in a Brittany. This is not a contract and does not guarantee that there will be a Brittany for you at this time. It is only the first step and your assistance in completing this questionnaire will help us to place the right puppy in your home. All information will be kept confidential and used only by us. Thank you for your cooperation and interest in our dogs.

If you are still interested, please print off and complete the following questionnaire and then mail it to

Anna B. Rose Kennels
Attn: Greg or Debbie Massoglia
9181W Old Highway 10 Rd
Saxon, WI 54559

How did you hear about our Brittanys? On the web, friend , AKC event, etc.:

Would you prefer:

Male Female No Preference

Is this your first Brittany?

Yes No

What Role? Circle all that apply

Family Companion, Hunting, Show

Field Trial/Test, Breeding

Obedience/Agility Trials ,

gift (explain):

What Qualities are you looking for?

Explain:

What Qualities would you not like?

Explain:

Previously owned dogs:

Number :

Breed(s):

Does your home have a fenced-in back yard?

Yes No Height:

If not, how will you ensure your Brittany will be safe when outside?

Where will your dog live ?

Inside mostly / Outside Mostly

Explain:

Why are you interested in a Brittany?

Explain:

Please provide us the name, address & number of your Veterinarian?

Name:

Address:

Phone:

Do you rent or own the place were this pup will grow up?

Own Rent

If your home is a rental, will your Landlord be willing to sign a statement allowing you to keep a Brittany? Yes / No,

Please give your Landlords Name & Phone:

What might be the reason(s) for giving up this new dog if the dog does not meet your expectations?

Explain:

If you are interested in Breeding, what are your reasons? Explain:

Who will care for this dog if you should become incapacitated, temporarily or permanently?

Explain:

Will you crate train your dog?

How many hours will this dog be left alone per day?

During the housebreaking time?

Where will the dog be when you are not at home?

Explain:

Are you aware of the health issues that could appear in Brittanys?

Yes No

How would you handle these issues?

Are you aware that Brittanys have a high energy level and can shed hair when nervous?

Yes No

How would you handle these issues?

Are all members of the family ready for a new dog?

Do you agree that, if for some reason you are unable to care for this dog, we will be contacted about this first and given the chance to help find this dog a suitable home? Yes / No

Are you aware of the socialization and the obedience training needs of a Brittany? Do you feel you are capable of providing for these needs through a structured obedience course so that it will become an enjoyable companion and a good canine citizen? Yes / No

* If you decide to purchase a show quality puppy/dog, are you willing to show it or have the breeder show it to his or her AKC championship?_____________ Would there be other titles that you would be willing to put on this puppy or dog?____________________________________________________

** We may from time to time find that there is a puppy that we would like to find a co-ownership home for. Would this be of interest to you? ______________. The reason for a co-ownership would be because we see some awesome qualities in this pup that we would like to keep an eye on through shows/trials. If it turns out to be a dog that could pass on these qualities for the betterment of the breed and Anna B. Rose Brittanys, then we would like to have one litter from her or use him as a stud in our breeding program. Due to the fact we can't keep every awesome puppy from every litter, a co-ownership helps us and our line of Brittanys.

Are you willing to travel (by car or plane) to Saxon, WI to meet our Brittanys and us and to take your pup home when it is time? Yes / No

We would like to thank you, again, for taking the time to fill out this questionnaire and for your interest in