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GLOJAN PUPPY QUESTIONNAIRE
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Indicates required field
Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Phone Number
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Email
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Comment
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What sex do you prefer?
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Male
Female
Does Not Matter
What Color Do You Prefer?
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Salt & Papper
Black & Silver
Black
No Prefernece
Would you be interested in an adult miniature schnauzer?
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Yes
No
Maybe
Style of ear you prefer?
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Natural
Cropped
No Preference
When are you looking to adopt your GloJan Puppy?
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Now
Within the next few weeks
Within the next few months
3-6 months
6-9 months
9-12 months
Over a year from now
How long are you willing to wait for a GloJan puppy?
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I can't wait I am looking to adopt now
A few weeks
1-3 months
3-6 months
6-9 months
9-12 months
Time is not an issue
Would you like to be put on our waiting list if your puppy preference is not available now?
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Yes
No
Type of residence?
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Single family home
Apartment
Condominium
Townhouse
Mobile Home
Duplex
R.V.
Is your yard fenced?
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Yes
No
Do you have children living in the home?
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Yes
No
Do you have other animals living in the home?
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Yes
No
Do you intend to breed this dog?
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Yes
No
Unsure
What do you expect the activity level to be for your new puppy?
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Mild
Moderate
Active
Extremely active
Have you ever owned a miniature schnauzer before
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Yes
No
What is the main purpose for this puppy?
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Family companion
Family companion & show dog
Show dog
Companion for my other pet
How did you hear about GloJan?
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Referral
Internet
Dog show
Facebook
Twitter
American Kennel Club
Other
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