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?
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
Own
Rent
Rural
Suburban
Urban
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: