New Puppy Questionnaire

New Puppy Questionnaire

Tell us about your new puppy and your household so we can help set them up for success.
Your Full Name

First NameLast Name
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Gender
Number of adults in household
Enter the number of adults
Any children living in the home?
Children’s ages
Do you rent or own your home?
Do you have landlord permission for pets?
Do you have a fenced yard?
Fence type / height
Do you have previous experience owning dogs?
If yes, list species and ages
Have you ever owned a Bichon or dog with hair (not fur)?
If yes, please tell us your experience
Do you have other pets?
If yes, what other pets do you have?
Typical hours the puppy will be alone each day
Hours per day
Where will the puppy spend most of its time? Where will the puppy sleep?
Who will be the primary caregiver?
Are you willing and able to pay for regular veterinary care and emergencies?
Are you willing and able to pay for monthly grooming?
Approximate budget per year
Do you agree to vaccinate and spay/neuter as recommended?
Do you agree to a home visit or reference check if required?
Vet reference name and phone
Grooming reference name and phone
Plan if you can no longer care for the puppy
Should be Empty: