Before acquiring a new puppy, thought needs to be given as to how the puppy will fit into your lifestyle, home and family. This questionnaire is designed to help you make important decisions prior to purchasing a puppy and to assist us in placing the right puppy with you. This will enable me match each puppy with the proper home based on the prospective owner's lifestyle and environment and on the puppy's personality and abilities. With this in mind, please answer all questions with as much detail as possible. All information is strictly confidential and will be used only by us. Thank you for your interest.

Your Name:

Address:

City, State, Zip:

Home Phone:

Work Phone:

Best time to reach you:

Email Address:

Occupation:

Do you prefer a male or female?
Male
Female

Have you ever owned a dog before?
Yes
No

If so, what kind?

Do you still have it?
Yes
No

If not, what happened to it?

Why have you decided to purchase a Toy Poodle?

For what purpose are you purchasing this puppy (Family Pet, Companion, Etc.)?

Are there other animals in your home?
Yes
No

Please describe your other animals:

How many adults live in your home?
1 2 3 4 5 6 7+

If you have children in your home, please list their ages:

(Children six and under have a very difficult time with small puppies. A parent or sitter will have to be constantly vigilant during the early stages of socialization. Children are unable to command respect and the puppy must be taught to behave around each younger child. Children must also be taught how to handle and behave around a young puppy. This takes additional time and energy. If you have children in this age range, be sure you have plenty of extra time to work with pup and child(ren). Young children should NEVER be left unattended with the puppy.)

Are ALL Family members in agreement on getting a toy poodle?
Yes
No

Do any family members have allergies to, or fear of, dogs?
Yes
No

What leisure activities and hobbies do you and other family members enjoy?

Who will be the primary caretaker of the dog?

Is this person aware of the time and energy needed to care for a young puppy and willing and able to accept that responsibility?
Yes
No

Will the cost of raising and caring for this puppy fit comfortably into your budget (Initial puppy shots, monthly heartworm medication, annual booster vaccinations, crate, bedding, food, toys, grooming products, spaying or neutering)?
Yes
No

Are you committed to caring for this dog for his/her lifetime (Average life span is 15 yrs)?
Yes
No

Please answer the following questions about your home:
House
Condo
Apartment
Other

Where will your puppy be staying during the day?

Where will the puppy stay at night?

How often do you travel, and where will the puppy stay while you're gone?

What type of outdoor facilities do you have (Securely fenced yard, kennel run, invisible fence, Other)? Is there a dog house or other adequate shelter from the elements?

(Invisible fencing will keep your dog in but will not keep other dogs out.)

Do you padlock your gates (If applicable)?
Yes
No

Do you plan to use a crate for Housebreaking?
Yes
No

If not, what other method do you plan to use for housebreaking?

Are you willing to obedience train this dog through training classes in order that he/she will become an enjoyable companion and canine good citizen?
Yes
No

Are you aware of the grooming requirements of poodles?
Yes
No

Do you have experience in any of the following areas? training, showing, breeding, pet therapy work, agility, other. (Please describe, including any titles or achievements earned, number of litters whelped or just general information about other dogs you have owned?

My puppies, which are sold as family pets, require a spay/neuter contract. AKC papers & No exceptions.

Have you ever euthanized a dog?
Yes
No

If so, for what reason?

Please describe what type of personality you are looking for in your toy poodle (as an adult dog) and the type of family environment in which he/she will be living:

Please list at least 2 references and the name and address of your veterinarian:

Please use this field for additional information or comments that you feel are important:

My apologies for the length of this questionnaire but I feel this type of information is very important in choosing just the right puppy for you. Thank you for taking the time to complete it.

COMPLETED BY (your name):

DATE: