Buyers Full Name:
Buyers Phone#
Email Address:
Buyers Date of Birth:
Martial Status	Single Married Other
If there was a change in your relationship who would the puppy live with?
Do you work fulltime?
Do you own or rent your home?
What sort of living area are you in? Please check all that apply;	Downtown city small town Appartment Condo Townhouse Suite On a farm House Middle of no where
Why do you want a Poodle?
How much experience have you had with this breed?
Are you aware of the health problems, that may appear in the Poodle today?
Have you ever owned a dog before?	Yes No
Do you have Children?	Yes No
Where will this puppy be when you are gone?
Where will this puppy sleep?
Who will be taking care of this puppy?
How much time do you plan to spend with this puppy a day?
Do you plan to take this puppy to puppy classes?
What are your plans for exercising the puppy?
Do you have a fenced in yard?	Yes No Partly Soon
How will you punish the puppy if it does something wrong?
What are you looking for in a puppy? Please check all that apply;	A Pet/Companion agility conformation A breeding prospect unsure other
Do you have any other pets & if so please specify;
Are you looking for a certain color? If so, what color?
Do you have a puppy picked out? If so which one?
Are you interested in a puppy of a particular sex?
Do you intend to spay/neuter?
How did you hear about us?	Internet Search A friend Add in local paper Website Other
Have you read our contract?	Yes No Partly
Do you agree with everything on it?	Yes No Partly
If no please explain;
Can you provide us with a reference? This is not required.

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