Ashbrook Questionnaire

Please Note:  We  Do  Not  Ship  Puppies.  We are located in the New England region of the United States, and do not ship puppies to other parts of the United States or other countries.  We suggest you purchase your puppy from a reputable breeder in your area.  To locate a breeder-referral person in your area, visit the ECSCA's website.

Please provide the following contact information:

Full Name
Title (Mr. Mrs. Miss, Ms.)
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone (optional)
Home Phone
E-mail

What is your age?

Number of adults in your household?

Number and ages of minor children in your household?

Do you rent or own your residence?

Rent
Own

Do you have a fenced yard or a fenced enclosure for this dog?

  Yes
  No

If you don't have a fenced yard or enclosure, how do you intend on controlling this dog?

Are you looking for a puppy immediately or in the future (explain)?

Have you previously owned an English Cocker?

  Yes
  No

If yes, from whom did you purchase and how long did you have the dog?

If no, what are your reasons for choosing this breed?

Are you wanting a:

Male
Female
No preference

Is your preference a:

Puppy
Adult

If a puppy is not available, would you consider an older puppy or an adult?

Yes
No  

What is the maximum adult age you would consider?

1-2 yrs.
2-4 yrs.
4-6 yrs.
6-8 yrs.

What is your color preference, if any?

Black & White
Blue Roan
Orange
Black, White & Tan
Blue Roan & Tan
No preference

What traits are you looking for in a dog ?

How much exercise do you plan on giving this dog?

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

If more than 6 hrs., will someone potty the dog at lunch or will you hire a dog walker?

Lunch Potty
Dog Walker

Where will the dog be kept when no on is home? (i.e., loose, crated, confined to a room, basement or garage)

Where will the dog sleep at night? (i.e., on your bed, crate, confined to room, basement or garage)?

How long do you expect housebreaking to take?

What would you do with the dog if you suddenly found yourself unable to keep it? (Things do happen.)

Do you currently have a dog (s)?

Yes
No

If yes, please list ages and breeds ?

List other pets you currently own?

What problems, if any, did you have with previous dogs (be specific)? i.e. health, training, behavior.

Have you ever gone to obedience classes?

Yes
No

Do you plan on taking this dog to obedience class?

Yes
No

Where will the dog PRIMARILY spend its time?

Inside
Outside
Both

Primary reason for wanting a dog:

Pet
Show
Obedience
Breeding
Other

If other, please explain?

Do you currently have a veterinarian?

Yes
No