Questionnaire

Whitebred Bichons Prospective Owner Questionnaire
Customer Information:
Date:
Contact Person:
Address:
City/State/Zip:
Phone Number:
E-mail:
Other adult household members names and occupation:
Number of Household Children?
Ages?
Your Interest In Bichon
Why are you interested in a Bichon?
What Qualities do you LIKE in the Bichon?
What Qualities do you DISLIKE in the Bichon?
Is this your first dog?	Yes No
Is this your first Bichon?	Yes No
If NO, please explain.
How often will you walk your dog?
What type of interactions do you want to provide to a dog?
If you were no longer able to care for a dog, who would take over the care if you could not keep it?
Pet Knowledge
If you read any books on the Bichons' care, what were the titles?
What method of housebreaking have you considered?
How long do you think it should take to housebreak your puppy?
Have you considered working with a qualified trainer?	Yes No
Estimate your monthly grooming expenses $
Are you prepared to provide adequate veterinary care?	Yes No
Do you presently have a Veterinarian?	Yes No
Vet's Name:
Vet's Phone:
What type of item do you expect to purchase to maintain a Bichon?
If you have young children, who will be in charge of supervision of the children and pup?:
Will you have time for a young pup with small children, and are your children comfortable with animals and old enough to be gentile with a pup?	Yes No
Are there any pets in your home?:	Yes No
What kind?:
How Many?
Have you ever had a dog or cat euthanized?	Yes No
Please explain:
Where will the dog stay during the day?
Where will the dog stay during the night?
If you work, how many hours are you away from home at a time?:
What arrangements will you make for your dog when you are away for long hours?:
Environment:
Neighborhood:	Urban Rural Suburban
Do you live in an:	Apartment Town House House
Do you:	Own Rent
If you rent, have you checked with your landlord regarding having a dog?	Yes No
Do you have a fenced yard?:	Yes No
What type and how high?
Pre-Adoption
What sex do you prefer?:	Male Female
Why?
Would you consider the opposite sex?	Yes No
What is your time frame for obtaining a dog?
Fee for the dog is:	To be announced
References:
Name 1:
Name 2:
Than you for taking the time to tell us about yourself. It is helpful in choosing the right puppy/dog for your family.
We Welcome your comments.
After completing this form, Print it out on paper, & fax it to 973-884-2783 Karen Graeber 4 Concord Rd. Whippany, NJ 07981 973-884-0272 WhiteBredKG@aol.com Whitebredbichons.com Copyright - 2007-2008