Companion Pet Questionnaire





Please fill in the following information and click "Send it!". Your application will be held, confidentially, on file and will be answered in a timely manner. No information given to YORKHAVEN will be shared with others without prior agreement.

Thank you!

Your Name:
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Your email address:
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Your Phone Number, City, and Province:
What would you like to ask us?
When are you thinking of adding a puppy to your family?
Describe why you are interested in a Yorkie and the desired personality of your “perfect” puppy.
Have you ever owned a dog or been raised with dogs?
Yes No

If so, what breed(s) and how many years (collectively) have you owned a dog? Provide details, please.

Are allergies a possible concern for any of your family members?
Do you presently have pets in the home?
Yes No
If yes, please provide details.
Do you have children at home?
Yes No
If so, how many, their ages and something about them please.
Do you have a secure, puppy-proofed yard?
Yes No
Are you willing to take your puppy to Puppy Socialization/Obedience classes?
Yes No
Please describe in a typical day, the amount of time (hours) you will and will NOT be at home due to work, commitments, or activities and what you would do with your pup during that time:
Please note if you work full-time away from home, we will not place a puppy in your home.
In order to match you to the right puppy, please describe your lifestyle such as, activities, travel, exercise, hobbies, etc.

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After you click on Send it! you should see a confirmation message that the completed form has been successfully sent.
If you do not see the confirmation message, please try again or contact us atfor more information.

After we receive your completed questionnaire, we will be in touch with you with more detailed information.


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