Reflection Boxers Questionnaire
Your Name
Address
City, State, and Zip
Email and Phone Number
Do you have children?
Do you or any family members have allergies to animals?
yes
no
Do you live in a
House Condo Apartment Trailer Other
Do you have a fenced yard?
yes
no
What gender are you interested in?
male
female
What color?
Plain Brindle
Flashy Brindle
Plain Fawn
Flashy Fawn
Doesnt' matter
White
What age are you interested in?
8 weeks
6 months
9 months
1 year or older
What purpose are you interested in a Boxer?
Family Pet
Breeding
Show Prospect
All our family pet puppies are sold on a spay/neuter agreement. Do you have a problem with this?
Yes
No
If yes to last answer, please explain.
Are you aware that Boxers are high energy dogs and that they shed?
yes
no
Have you ever given up a dog to a Shelter, Pound or Rescue?
yes
no
If yes, explain.
Where will your puppy or dog spend most of the day?
Inside the House
Outside all day and night
crated
kennel
at work with me
Will this puppy or dog have regular contact with family members during the day?
yes
no
Have you ever owned a Boxer before?
yes
no
Where will your puppy sleep at night?
inside
outside the house
inside in a crate
Have you spoken with any other Boxer Breeders?
yes
no
If yes, please list below
Are you currently on a waiting list with any other breeders?
yes
no
If we don't have any puppies, are you willing to wait?
yes
no
If so, how long can you wait?
1 month
3 months
6 months
9 months
1 year
If we don't have a dog/puppy, would you like for us to forward your request to another breeder?
yes
no
we will wait, we want a puppy from you
Thank you for taking time to fill out our questionare. We will be back to you in a few days and please list any comments below.


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