Semper Poodelis Puppy Questionnaire Form

Puppy Questionnaire:

Please complete and submit the following questionnaire. This will assist us in the selection of an appropriate puppy for you and your family.
Date*

MonthDayYear
Date
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
The purchase price of our pet puppies is $2,500. A non-refundable deposit of $500.00 is required to be placed at time of application approval for SD prospects. For pet, show, and performance homes, a non-refundable deposit of $500.00 is required to be placed at time of breeding.
The deposit is transferrable to another litter if we can not place a puppy in your home for various reasons we can not control. All puppies are sold on LIMITED REGISTRATION, that means that the puppies are NOT to be used for breeding, unless previous arrangements have been made.

Delivery fee for puppies delivered by car to surrounding states, starts at $400.
Delivery fee for puppies delivered by plane with puppy nanny varies due to airfare, the pet fee, and the nanny's fee. Please let us know if this is the route you would like to go and we can recommend you to our favorite puppy nanny!
When are you looking to add a new puppy to your family?*
Please indicate your preferences below*

MaleFemaleEither
Color Preference *
If there is not a puppy available that is your sex preference or color preference, or if there are not enough puppies born in the litter you are waiting for, are you willing to switch sex *?, or color *? (please indicate alternate), or wait until next litter *?
Why do you want a Standard Poodle?*
Are you aware of the grooming needs and costs of poodles?*
Please describe what your "dream" dog's personality would be like. For example: calm, playful, affectionate, etc.*
Do you plan on training your dog?*
Are you willing to take your puppy to group training classes?*
Have you previously taken a pet to group training classes? *
Where?*
Do you plan on participating in any formal activities with this puppy?*

YesNo
What activities do you plan on participating in with this puppy?*

Family CompanionObedienceRallyHuntingAgilityTherapyConformation AKCUKCHerdingFlyballFreestyleBarnhuntTrackingLure CoursingOther
Do you plan on this puppy becoming a service dog?*

YesNo
For those planning on using the puppy for service work, please provide the information for the force free/balanced trainer you will be using.*
Type N/A if this does not apply to you.
*A professional trainer MUST be used to help train the puppy.*
Are you planning to…*

Spay/Neuter this puppyBreed this puppy
Do you have a fenced yard? *
How tall is the fence? feet*
If not, how do you plan to exercise the dog? *
Have you ever owned a dog before?*
If yes, please answer the following questions; if not type no or N/A to the following questions and move on to **
What breed(s)?*
Type N/A if this does not apply to you.
What was the age of the dog(s) when you obtained them?*
Type N/A if this does not apply to you.
How long did you have the dog(s)?*
Type N/A if this does not apply to you.
Have you ever owned a dog and decided you either could not or did not want to keep it for whatever reason?*

YesNo
What happened to the dog?*
Type N/A if this does not apply to you.
Have you experienced any problem behaviors with any of your prior dogs? If yes, what behaviors? *
Type N/A if this does not apply to you.
How were those behaviors corrected or dealt with?*
Type N/A if this does not apply to you.
** Number of: Adults in household?*
Children in household?*
Ages of children?*
Number of other pets in household?*
Type 0 if this does not apply to you.
What type?*
Type N/A if this does not apply to you.
If other dog(s), what breed(s) and age(s)?*
Type N/A if this does not apply to you.
Are your current dog(s) spayed/neutered?*

YesNoN/A
Is there anyone in the home that is allergic to dogs?*
Please give a brief description of your family life-style, and how you plan to incorporate a dog into your life. For example, enjoy hiking & would like dog to participate or we have company over often and want dog to feel comfortable visiting with guests etc.*
Do you own or rent your home?*

OwnRent
If you rent, does your landlord approve of dogs in the home?*

YesNoN/A
Landlord's Name & Phone Number*
Type N/A if this does not apply to you.

Please give two personal references:*

	Full Name	Contact Number
1
2

Veterinarian and groomer information as reference(s):*

	Name	Contact Number
1
2

Balance is to be paid at the time of pick up, unless we are delivering/shipping your puppy. In cases of delivery, we require that the puppy to be paid in full, including delivery/shipping fee 10 days prior to delivery. I do not accept personal checks. If you have more you would like to tell us about your family, and what you are looking for, do not hesitate to include it with this questionnaire.

Thank you for contacting Semper Poodelis!
Kiley Cabrera
3849 E Broadway Blvd
Tucson, AZ 85761

semperpoodelis@gmail.com

Find us on Facebook at facebook.com/semperpoodelis and on Instagram @semperpoodelis
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Puppy Questionnaire: