Questionnaire /
Several people have had problems with the fill-in and send application, so you can copy this one and fill it in, or
send me an E-mail requesting the questionnaire and I will E-mail it to you in "Word" format.

Thank you for your interest in Payasa Havanese.
Payasa Havanese
Indidnapolis, IN area
Mary Anne Luke  and  Dale Suhre




City, State, Zip      

Phone (home)          (cell)              (daytime)              

E-Mail Address

We do not ship, so you must be able to pick up your puppy in our central-Indiana home.     

If you have lived at your current address less than 2 years, please give your previous address       

Who referred you to us?  Please select:  Havanese Club of America
Or type here for "other"      

Do you know someone with Havanese?  Yes              No      

Have you "met" a Havanese?  Yes              No      

Why have you decided that the Havanese is the correct breed for you?      

Is there a fenced yard or other suitable pen for your Havanese?      
Keep in mind that a Havanese is a house dog and should not be left outside alone even if you do have a fence.

Do you have any children/grandchildren who will be able to play with this dog?  How many?  What ages?      

Is anyone in your family allergic to pets?      
Havanese are considered hypo-allergenic; and while most people with allergies do well with Havanese, a few do have allergic reactions.  Anyone coming to our home should remember that we also have German Shepherd Dogs.

Who will be the primary caregiver?      

Where will the puppy be kept during the day?             Night?      
We recommend that your Havanese be at least in the same room as you are most of the time, and that your Havanese sleep in a crate in your bedroom at night.

On average, how much time will you have with your Havanese each day?      

On average, how much time will the puppy be left alone each day?      

Will someone be available to feed/ exercise the puppy during the day if you are not home?         Who?      

What will you do with the puppy/dog when you go away on trips?      
Havanese do not do well in a kennel environment.

Have you ever owned a dog before?         What kind was it?         Did you participate in anything like showing in conformation, obedience, agility, therapy work?      

How long did you have the dog?         If you no longer own the dog, why not?        

Have you ever given away or turned a pet over to a shelter of pound?         Under what circumstances?      

Do you currently own any other pets?         How many?         Please tell us a little about him/her/them      

Will this be your first dog in a long time?      

Have you ever housetrained a dog before?          If yes, how long ago?      

Do you plan on any training classes?          What type?         At what age (dog) will you begin training classes?      

Do you primarily want a loving companion, or do your interests include Conformation, Agility, Obedience, Therapy work, etc.?      

Have you considered the costs of owning a Havanese including: veterinarian care, annual CERF exams, feeding, training, boarding, grooming, bedding, toys?      

How much Aequipment@ do you already have for this dog?  Food & treats, collar, leash, flexi lead, food and water bowls, toys, books on care and training, grooming supplies.      

Who is, or is going to be, your veterinarian?  If you already have a veterinarian, please give name, address and phone number so we can contact him/her for a reference.      

Are you aware of the grooming requirements for the Havanese?  Do you enjoy brushing enough to commit to spending 15-30 minutes at least every other day to maintaining a Havanese coat?      

Are you going to take your dog to a groomer?         Do you have a groomer selected?        
Please be very careful in selecting a groomer.  A poor groomer can do a lot of damage to your Havanese not just the coat, but both physically and mentally.

Do you intend to breed this dog?      
If the answer is yes, unless you are a show person who I know well, you may as well look for another breeder as I do not generally allow my dogs to be bred.  My contract does not allow breeding, and I will prosecute to retrieve the dog and any puppies produced by that dog.

Do you understand the difference between a limited registration and a full registration?      
You can compete in any AKC event except conformation.  You cannot register any puppies from this dog.

Are you willing to sign a spay/neuter contract if purchasing a pet?      
Again, I do not allow my dogs to be bred.

If you have not already done so, please visit the web site.

Will you agree to have your Havanese= eyes checked for cataracts annually and registered with CERF (Canine Eye Registration Foundation) until it is 8 years old?      

We reserve the right to an in-home visit some time in the first year. 
Is this a problem for you?      

Do you understand that for the life of this dog, we, as the breeders, have the responsibility to ensure good quality of life for this animal?  And therefore, if for any reason you are unable to keep this dog, we must be contacted immediately.  Even if you have located a suitable home for this dog, we must be notified and given the opportunity to ensure this will be a suitable home or the dog must be returned to us.  I understand and agree              I do not agree      

What type of dog do you need to fit into your family?  High energy?        Low energy?        Good with Children?         Good with other animals?         Good with the elderly?      

Do you have any preferences as to sex or color?      

What questions do you have for us?