CCA General Interest Survey

Use the print function on your browser to print this page; complete the survey and USP mail to:

Cockapoo Club of America
Serving the Breeders and Owners of Cockapoos throughout the U.S.

General Interest Survey (Pilot)

After completing this survey please mail (via the US Postal Service) to:
Cockapoo Club of America
Attn: Josie Montanari
31766 Oak Ranch Court
Westlake Village, California 91361

Name:__________________________________________________________________________

Address:_____________________________________________________________________________

State:____________________ Zip:__________________

Phone:_______________________________

Email: ______________________ Web site:________________________________________

Breeder or Owner:____________________

Would you support an association dedicated to registering and promoting Cockapoos?___________

Would you be willing to pay an annual membership fee?__________

Would you be willing to pay a registration fee for your dog?___________

What would you expect for your membership fee:	Yes	No
Newsletter (two to four times a year)	_____	_____
Membership card/certificate	_____	_____
Information on puppy and dog care	_____	_____
General info packet/brochure about Cockapoos	_____	_____
The opportunity to register your dog	_____	_____
The availability of Cockapoo related merchandise	_____	_____
The availability of a CCA web site"	_____	_____
Other (please describe):_________________________________________________________ _________________________________________________________________

What would you consider to be a reasonable annual membership fee?__________

What would you consider to be a reasonable dog registration fee:__________

If you are a breeder would you consider joining the Club as a certified breeder which would then place you on the Club's Registered Breeder listing? _______________

If yes, what would you consider to be a reasonable annual fee?__________

Do you have a web site that talks about Cockapoos (either personal or commercial?)___________

Would you be willing to have your site reviewed by the Club and accepted as an approved site or link (if approved an appropriate graphic would be available)? ___________

Would you provide a link to the CCA from your site?__________

Do you know of any other organization dedicated to registering/promoting Cockapoos?___________

Do you know of any other organization that will register cockapoos?_____________

Is there any advantage to not establishing a Cockapoo registry?__________

Do you have any printed information on Cockapoos?____________

If so what and where did you obtain it?_____________

If so would you be willing to share it with the Club?_____________

Would you be willing to assist the Club in any way?____________ If so, how?___________
_____________________________________________________________________________________

About your dog:

Do you currently own a Cockapoo? _____________

From whom/where did you obtain it?____________________________________________________

Dog's age and sex:_________________________ Color(s):_________________________________

Overall health - if problems please describe:______________________________________________

How would you describe its temperament?______________________ Intelligence?_____________

Is tail docked?______________ If yes, your choice or the breeder's?________________

Type and brand of puppy or dog food fed:_________________________________________

Do you clip the coat?________________ If so to what length?_______________________

If previously an owner, age at death of dog:_______________________

Other thoughts, comments, suggestions:________________________________________________
____________________________________________________________________________________
___________________________________________________________________________________

If you have any questions or other thoughts, please contact the
Cockapoo Club of America at the above address or by email at:
office@cockapooclub.com

Last Updated 03/10/00