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Zip Code *
Dog Name *
Do you know if your dogs parents had any Health or Genetic testing? * — Select Choice — No Yes, Genetic Panel like Embark Yes, OFA hips, elbows or pennhip at least Yes, my dogs parents had full health testing that was shared with me. I don’t know
Is your dog altered * — Select Choice — Yes, before one year of age Yes, between 1-2 years Yes after 2 years No, but will be when old enough. No, Breeding Prospect or currently breeding dog.
Has your Dog had any health or genetic testing? * — Select Choice — No Yes, came with genetic panel Yes, has OFA’s Yes, My dog has genetic and health testing done I don’t know
What size is your Dog? * — Select Choice — Toy ( under 15 pounds) Mini (15-30 pounds) Medium ( 35-50) Pounds Standard ( 55-70 Pounds) Royal Standard (above 75 pounds)
What is your dogs coat type? * Unfurnished, No facial hair/beard (please match this with coat type) Furnished, beard/facial hair (please match with coat type) Straight ( little to no wave) Wavy (Loose curls) Curly (curly, but manageable) Coarse Curls ( Poodle coat coarse thick tight curls)
Does your dog shed? * No Seasonal / Light Seasonal / Heavy Heavy shedder year round
What is your dogs daily diet? * Large scale commercial brand Kibble( Iams, Purina, Hills Science diet, etc) Boutique Kibble ( Zignature, Fromm, etc) Raw Diet Veterinarian prescribed Combo of Kibble and Raw or Prepared Freeze Dried Home cooked/ prepared whole food diet
Does your dog take any over the counter supplements? * CBD Coconut Oil Fish oil (omega fatty acid) Joint Supplement Multivitamin Melatonin Mushroom Extract Pre/Probiotic Skin Coat Support None of the above.
Does your dog have recurring ear infections? * Yes Seasonally No
Does your dog scratch often or chew on paws? * Yes Seasonally No
Does your dog have dental issues, bite issues or pain eating? * Dental decay Bleeding Gums Fowl Breathe Improper bite makes eating painful. Base Narrow Canine( lower canines hit the soft pallet of the mouth) Under or over bite
What are your dogs eating habits? * — Select Choice — Regular eats at a normal pace. Gobbles, always acts hungry, tries to eat everything. Gobbles, we use a slow feeder Very picky eater, slow eater
Does your dog experience stomach upset? * — Select Choice — Regular eating and regular stool Some upset with different foods Stool is always different Vomits bile often Vomits food often We had issues in the past but found a workable diet for our dog.
Where is your dog kept/living situation. * — Select Choice — In our home. In our home in a crate when we leave Usually outside when weather is safe Not in our house but in separate building with air conditioning.
Would you consider your dog/puppy healthy? * — Select Choice — Extremly We have some concerns We have many Health Issues Deceased
Do you do yearly vaccine boosters, give oral flea & tick, heartworm medications? * Yearly boosters Heartworm prevention and yearly testing Oral Flea and Tick All the above Rabies booster Topical Flea and Tick None of the above.
Has your dog been diagnosed with any conditions or disorders * Allergies Blood disorders Behavioral/ Mental Health Bone, Joints, Spine / Orthopedic Brain, Spinal Cord or Nerves ( Neurological, Seizures) Dementia Cancer Cardiovascular (heart or blood vessels) Dental/ Oral Issues Digestive Tract (stomach, intestines, pancreas, anal glands) Ears ( deafness or infections) Eyes ( blindness, infections, cataracts, entropion) Hormones/ Endocrine ( diabetes, thyroid disease, Cushing’s & Addison’s) Immune system/ Autoimmune Infectious disease, tick or parasites born illness, heartworn or kennel cough Kidney or bladder stones or disease Liver or gallbladder issues muscular system Reproductive system None of the Above
Has your dog been Diagnosed with Allergies? * No Atopic dermatitis, environmental, seasonal pollen, trees, dust. Contact dermatitis (shampoos, detergents, fabrics) Allergic reactions to fleas or insect bites Food or Supplement allergies Medication or Vaccine allergic or adverse reactions
Does your dog have any of these issues? * Separation Anxiety Car Sickness Social Anxiety Food or Resource Guarding Dog Aggression Fear of a specific trait on a person such as beards, gender, height, etc) Reactivity, Biting or Growling None of the Above
How is your dogs grooming tolerance? * — Select Choice — Excellent, accepts all aspects or grooming. Breeder added extra attention to grooming exposure. Good, is tolerant of grooming Tolerates bathing & brushing but fearful or drying Tolerates brushing and blow drying but doesn’t care for the water Not well, professional grooming is required Very high anxiety to grooming needs to be medicated.
How often do you take your dog out in public? * — Select Choice — Always, my dog goes everywhere I go. Daily walks, dog park play, or daycare. 2-4 times a week maybe once a week or weekends. Very rarely Never
If you don't take your dog out of the house please explain why? *
infections? give Where
Who else does your dog live with? * — Select Choice — Other dogs Cat/cats Children (infant – toddler) Children 5-10 Children 10 or older Owner is of retirement age or lives with someone of that age range
Does your Dog have a specific task, job or sport? *
If yes please explain?
What if any habits or quirks does your dog exhibit that bothers you or is hard to deal with? *
How many hours a week does your dog exercise/ run & play? * — Select Choice — 0-1 hour 2-4 hours 4-6 hours 6-8 hours 10 or more I don’t know.
Do you feel like your dog is at a good activity level for his/her age? * — Select Choice — Yes normal Very calm and less active than I expected. Sometimes requires extra play, but generally controllable Needs a lot of activity but not destructive. Needs a lot of activity or will be destructive. My dog is a mess
Please use above chart and give an accurate answer. *
Would you get another Bernedoodle? Explain yes or no? *
Would you like to share your breeder and give a review?