Thank you for your interest in acquiring an Irish Setter.  Please take a few minutes to answer our electronic questionnaire.  This will help us determine if an Irish Setter is right for you.

Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

How many adults are in your household?

Do you have any children?

Yes No

If you have children, how many do you have?

What are the ages of your children?

Have you owned or do you currently own other dogs?

Yes No

How many dogs have you owned?

What are the breeds of dogs owned?

Were the dogs you owned spayed/neutered?

Yes No

Is everyone in your family committed to getting an Irish Setter?

Yes No

What age of dog are you interested in?

Puppy (young) Puppy (older) Adult

What traits are you looking for in a puppy or dog? (outgoing, quiet, big, small, light, dark...)

Do you want a Male or Female? Why?

Do you live in a house or apartment?

Do you own or rent?

Will the dog be kept inside, outside, or both? Day or Night?

How big is your yard? Is it fenced? How tall is the fence?

If the yard is not fenced, will the dog get exercise and be able to spend time outside?

Who will be the primary care giver?

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

Are you willing to allow a home visit

Yes No

What are the reasons for wanting an Irish Setter? Select all that apply:

Conformation (Show)
Pet
Agility
Obedience
Hunting
Tracking
Breeding

Do you plan to spay or neuter?

Yes No

Is limited registration acceptable?

Yes No

Have you ever attended an obedience class with a dog?

Yes No

Do you plan on attending any training classes with this Irish Setter? (Puppy Kindergarten, Obedience, Etc.)

Yes No

Do you plan on having this dog professionally groomed? (neck, ears, and toenails clipped...)

Yes No

I require a Veterinarian Reference. Please include your Veterinarian's name and telephone number.