Puppy Buyer Questionnaire

Puppy Buyer Questionnaire

The following questions will help us find the right puppy for you. Our goal is to find each puppy a loving home where they can be part of the family. The dog’s welfare must be our foremost consideration before a choice is made for placement.

Please complete the questionnaire below and send it to Shannon@virginiapoodlesanddoodles.com 

Personal Information

Name: _________________________________

Home Address: ____________________________________________________________

_________________________________________________________________________

Contact Number(s): ___________________________________

E-mail address: ______________________________________

Occupation: _________________________________________

Referred by: _____________________________

Family Information

Spouse Name: ___________________________

Occupation of spouse: _____________________

Number of family members: _________________

Do you have any children? ( )Yes ( )No

If yes, what are their ages: _________________________

Does everyone in the family agree on getting a dog? ( )Yes ( )No

Does anyone in your household have allergies to animals/pets? ( )Yes ( )No

If yes, to what and how severe? __________________________________

____________________________________________________________

Who will be the primary care giver of the puppy? ____________________________

Have you ever owned a dog before? ( )Yes ( )No

If yes, what breed/s? _________________________________________________

How long did your last pet live? _________

What were the circumstances of its death? __________________________

Do you currently have other pets/animals? ( )Yes ( )No

If yes, please specify: _________________________________________________

Do you already have a trusted veterinarian? ( )Yes ( )No

If yes, please provide:

Name of vet: ________________________________

Address of the clinic: _______________________________________

________________________________________________________

Contact number/s: ___________________________

If there would be changes in your family’s situation such as a change in occupation or residence, or having a new baby, what will happen to the dog? ______________________________________________________________________

Have you ever returned a pet to the breeder? ( )Yes ( )No

If so, what were the circumstances: _______________________________ _____________________________________________________________

Have you ever given a pet away? ( )Yes ( )No

If so, what were the circumstances: _______________________________ _____________________________________________________________

Have you ever taken a pet to a pound or shelter? ( )Yes ( )No

If so, what were the circumstances: _______________________________ _____________________________________________________________

Housing Information

Type of Dwelling:

( ) House

( ) Condo

( ) Apartment

( ) Mobile Home

How long have you lived at this address/home? ___________

If you’re renting, are you allowed to have a dog or pets?

Please provide the information of your landlord:

Name: _______________________________________

Address:_______________________________________________

______________________________________________________

Contact Number/s: _____________________________

What kind of floor surfaces will the dog be on in the house?

__________________________________________________________________

Do you have a yard? ( )Yes ( )No

If yes, is it fenced? ( )Yes ( )No

If yes, how high is the fence? ____________

If not, how will the dog exercise? __________________________________

Will you be willing to build a secure space or suitable pen for the dog so it can burn off energy without being supervised? ( )Yes ( )No

Will the dog receive crate training? ( )Yes ( )No

Puppy-related Information

Why do you want this specific breed?

___________________________________________________________________

What reference materials have you read about this breed?

___________________________________________________________________

How many individuals of this breed are you acquainted with? __________________

How did you bear about this breed? ________________________________

What activity level do you expect from this breed?

( ) Very High

( ) High

( ) Moderate

( ) Below average

Are you aware of the health issues that may affect this breed? ( )Yes ( )No

Are you interested in a ( )Male or ( ) Female puppy?

What age do you wish to get the puppy? ______________

Have you considered an older dog instead of a puppy? ( )Yes ( )No

What are the important factors of a dog for you? Rank the following with 1 being the highest priority:

Conformation (looks) ___

Breeding potential ___

Temperament ___

Fieldwork or hunting ability ___

Gender ___

Pet Therapy ___

Search and rescue ___

Family Companion ___

Ability to compete

in obedience or agility ___

Show dog quality ___

Others: ______________________________________

Where will the dog live? Inside, outside, or both? ______________________________

Where will the puppy be kept during the day? ______________________

Where will the puppy be kept during the night? _____________________

How many hours a day will the puppy be kept outside? _______________

How will the puppy be confined when outside? ______________________________

Is anyone going to be at home throughout the day? ( )Yes ( )No

How many hours will the dog be left alone? _____________________________

Will there be someone available to feed and exercise the puppy during the day?

( )Yes ( )No

Are you interested in showing the dog in the conformation ring? ( )Yes ( )No

Have you ever shown a dog to its championship?

Do you have dogs that completed AKC titles? Please specify: _______________________________________________________________

_______________________________________________________________

Have you had experience breeding dogs? ( )Yes ( )No

Do you intend to breed this dog? ( )Yes ( )No

Have you ever house-trained a dog before? ( )Yes ( )No

Will you be attending any training classes with the puppy? ( )Yes ( )No

If yes, what age will you start? ____________

Do you plan on having the dog spayed or neutered? ( )Yes ( )No

Are you interested in competition in performance events such as obedience, agility, hunting, herding, etc.?

( )Yes ( )No

Have you shown a dog to any performance titles? ( )Yes ( )No

Please specify: _________________________________________

Which activities or competitions are you interested in? __________________

_____________________________________________________________

Who will be the trainer? ____________________________________

If you’re planning to have this puppy join dog shows or performance events, please provide references (breeders, trainers, etc.).

______________________________________

______________________________________

______________________________________

Do you understand the difference between a limited registration and full registration?

( )Yes ( )No

Do you have any questions or other information you want to share? Feel free to let us know!

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Thank you for your time in answering our questions candidly. Your answers won’t be the only factor in determining whether any of our puppies should go home with you. We’ll reach out to you about how we’ll move on with the process of your search for a dog as an addition to your family.