Please complete the questionnaire and return it to me. This will help with the
selection of the right puppy for you and your family.
NAME:______________________________________________________________
ADDRESS: __________________________________________________________
CITY: _________________________________STATE:_______________________
ZIP: ______________________EMAIL:____________________________________
PHONE: _____________________________FAX:____________________________
How many people are in your household? _______________
Do you have children? _______
If yes, what are their ages? ____________________________________________
Does every family member want a dog? ____________
If not, please explain:
___________________________________________________________________
What made you decide to get a dog, especially a Portuguese Water Dog. Bichon or Lowchen?
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
For what purpose are you purchasing a puppy? (Check all that apply to you)
Family pet ____ Obedience Training ____ Show Breeding ____
Therapy Dog ____ Agility ____ Water work(PWD) ____
Other ___________________________________
Do you have other pets in your household? ______
Explain:_____________________________________________________________
___________________________________________________________________
Will you have them professionally groomed, how often?
___________________________________________________________________
Are you willing to brush this dog daily and brush the dogs teeth daily?_______________
Do you have any special concerns about a puppy? _____________________________
___________________________________________________________________
___________________________________________________________________
What facilities do you have for you dog?
_____________________________________
___________________________________________________________________
Is your yard fenced? _______________
Where will you keep this puppy? _________ __________
Do you own a crate? ________________ Size______________________
Do you understand the financial commitment involved in having a pet, other than the
original cost of the dog? (Veterinarian cost, quality food, regular grooming)
__________
Are you willing to spay/neuter this dog? ______________
Will this dog be allowed on your furniture?___________
Where will this dog sleep?_____________________
Who is the primary person wanting this dog_______________
If you have children have they been around other dogs? ______________
