Questions for those interested in a 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.

Be sure to put an answer in every box so that we can help find you a basenji!
Other people in the household (give ages and names of children):
Is anyone in your household allergic to dogs?
If you answered yes, please list the type of animal and if they are spayed or neutered:
Basenji Particulars
What age Basenji do you prefer - Puppy (up to 6 months), Young Adult up to 2 years), Adult?
Plans for your Basenji's lifestyle?
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?
Your Home
What type of dwelling do you live in - House, Condo, Apartment or Other?
If other, please explain.
Please provide contact information for your landlord here:
If so, please note what type of fence and its height at the lowest point.
A few other things
If so, what breed(s)?
How long did you own it?

What happened to this dog?
If so, please list what research you have done and what you have read?
Please list two references, one could be your veterinarian:
If there is any other information that you would like to share with us, please enter it below.