Prospective Owner Questionnaire
NOTE: DO NOT send as an email attachment. Either copy text into an email msg as part of the body
OR print and mail via US Post to Simpatico Bull Terriers 121 W. Lake Blvd. Winona, MN.55987
Full Name: ______________________________________________________________
Email address:___________________________________________________________
Street address (incl city/State/zip): _____________________________________________________________________
Is this a house/apartment/condo? ___________________________ Any restrictions on pets: ________________________
Is this home in a rural area? ________ Suburban area? ________ City area? _________
Yard size: _________________ Fence height: ____________________
Home Phone: __________________ Office phone: ______________ (what kind of office is this, please?) __________
Spouse's name: ______________________ Names & ages of children: ______________________________
Are you interested in a puppy? _____ rescue? _____ Is anyone home part of the day to train a puppy: _____ Who: _____
Who will have primary responsibility for care of the puppy? ______________________________________________
Are you looking for white or colored? _____ Particular color?________________ Sex: _________________
Are you interested in showing? __________________ Are you interested in breeding? ____________________________
Why are you looking for a bully? ________________________________________________________________________
Have you owned a Bull Terrier before?____________________________________________________________________
Where will the puppy spend most of his/her day: ___________________________________________________________
Where will the puppy sleep? ________________ Are you willing to attend puppy socialization with the puppy? _______
Are you most interested in a companion? ___ an obedience or therapy dog? ___ rescue or special purpose dog? ___
show dog? ____ breeding dog? ____
What qualities do you like about a Bull Terrier? ___________________________________________________________
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E-mail puppies@simpaticobullterriers.com snail mail 121 W. Lake Blvd. Winona, MN. 55987 Phone (507) - 261-2225