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?
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) ___
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.