Questions for those interested
in obtaining an Eldorado Basenji

 

We understand that you are looking for the perfect new dog for your family
and here at Eldorado Basenjis we are dedicated to finding the perfect home
for each of our puppies or adults. 

 

We ask that you please take a few minutes to fill out our questionnaire
so we may get a chance to know you a little better.

About You
Your Name:
Other people in the household (give children's ages):
Do you own or live with any other pets? If so, please list kind of animals, how many, their ages and if they are spayed or neutered.
Phone number:
E-mail address: Please be sure this is correct or we will not be able to respond.
Basenji Particulars
What age of basenji do you prefer?
Do you prefer a male or female basenji or is this optional?
What color of basenji do you prefer? What other colors would you accept?
Where You Live
Address City State and ZIP
Type of Dwelling:	House Apartment Condo Other, please explain:
Do you own or rent?	Own Rent
If you rent, do you have your landlord's permission to own this dog?	Yes   No
Please provide contact information for your landlord here:
Do you have a fenced in yard? If so,what type and fence height at lowest point:
Plans for Your Basenji's Lifestyle
Will your basenji live inside or outdoors?	Inside   Outside
How many hours a day will your basenji normally be unattended?
Where will your basenji stay when you are not at home?
When you are on vacation or away from home will you take your basenji with you? If not, where will your basenji stay?
Do you own a crate? If not, do you plan on purchasing/obtaining one for your basenji?	Yes   No Yes   No
Do you have plans to breed your basenji?	Yes   No
Are you willing to spay/neuter your basenji?	Yes   No
A Few Other Things
Have you ever owned a dog? If so, what breed, how long and what happened to this dog?
Do you or anyone in your household have allergies to dogs?	Yes   No
Have you done any research on basenjis? If so, please make a list of how much/what you have read:
Please list at least two references (one must be your veterinarian):
Any additional information you would like to share can be inserted here:
Please review your responses before submitting: