1.

How did you hear about Aftershock Belgians?

2.

Have you a preference for age, color or gender?

3.

Do you have a fenced yard? Where will you keep the puppy?

4.

What will you use for flea and worm prevention?

5.

How and what will you feed the puppy?  Do you plan to spay or neuter?

6.

Have you ever given up on a pet?  Please explain the circumstances.

7.

Please list contact information for your vet.

8

How many pets live in your home?  Please list ages, gender & species.

9.

How many people live in your home?  Please list ages and gender.

10.

Is anyone in the house allergic to dogs, or prone to asthma?

11.

Are you inquiring for yourself, or another person?

12.

Do you have pet restrictions due to a rental or neighborhood agreement?

13.

To help match you with the right puppy, please tell me a little about your lifestyle, hobbies, travel, etc.