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Le Bijou Papillons Prospective Client Questionnaire

The questions below are meant to help you determine if a Papillon is the right breed for you, and to guide you in thinking about all the ways a dog will impact your life. The questions address various aspect of dog ownership that should be given serious consideration before you decide to share your life with any dog. Your answers help us assess your suitability as a home for our Papillon and to match a dog to your particular lifestyle. Please be as specific as possible, and answer all questions as completely and truthfully as you can. It helps us help you!

If you would like to print this form out and email, fax, or mail it back to us, please click here to download the form.

YOU AND YOUR FAMILY

Your name:
Your email address:
Please provide your complete address.
Phone Number where we can contact you.
Household size
Please list every person that currently resides at your residence:
Name    Relation to You    Age
Name    Relation to You    Age
Name    Relation to You    Age
Name    Relation to You    Age
Name    Relation to You    Age
Does anyone in your household have any known allergies to animals?
Yes
No

If yes, please explain:
Who will be primarily responsible for the dog's care and training?

PREFERENCES

Do you want a Papillon as?
Spayed/Neutered Companion Pet 
Conformation Show Prospect
What sex of dog would you prefer?
Male
Female
Either Sex is Fine
Are you looking for:
Puppy
Older Papillon - If yes, older Papillon age?
Why a Papillon?
What attracted you to the Papillon
How would you describe the ideal dog for you and your family? (Please be as specific as possible.)
What other breeds have you considered?
Have you and your family discussed the pros and cons of owning a Papillon?
Yes
No
What concerns do you have about the breed?
Are you familiar with the temperament and characteristics of a Papillon?
Yes
No

Explain:
Please explain your experience and understanding of the Papillon:
Have you previously owned a Papillon?
Yes
No

If yes, when did you acquire?

If no, have you personally met a Papillon?
Yes
No

PET OWNERSHIP

Why do you want a dog?
Do you have any reservations about dog ownership, the commitment, responsibilities, the work, and resources required?
Yes
No

If yes, please explain:
Have you ever owned a dog before?
Yes
No

If yes, how long ago?
Do you have other Pets? What other breeds of dogs, how many? Cat, birds, etc.? Sex? Altered? Years owned?
What do you enjoy most and least about dog ownership?
Have you ever trained one or more dogs?
Yes
No
Have any of your dogs had puppies or fathered a litter?
Yes
No

If yes, please describe:
What experience, if any, have you had with dog aggression?
Have you ever had any complaints from others about your pets?
Yes
No

If yes, please describe:
How will you safely introduce and integrate a Papillon with your existing pets?

YOUR HOME

Do you live in an?
If you rent/lease, is your landlord agreeable to your owning a dog?
Yes
No
Does your lease or home owners association have any covenants or restrictions on pet ownership?
Yes
No
Does your town or city have any restrictions on the number of dogs you can have?
Yes
No
Would any of your neighbors object to your getting a dog ?
Yes
No

YOUR YARD

Do you have a fenced yard?
Yes
No, I am planning on walking my Pap.

CARE & RESPONSIBILITY

Is someone normally at home most of the day?
Yes
No
Where will your Papillon spend the day?
Loose indoors
Basement
Crate
Garage
Kennel run
Loose outdoors in fenced yard
Tied up outside
Other  

COMMITTMENT

A Papillon can live to be fifteen years old, representing a 15-year commitment to you. Consider how old you will be fifteen years from now, and how you will feel about this commitment then.

Are you and those living with you committed to spending the next fifteen years providing health care, food, grooming, training and attention to your Papillon?
Yes
No
Is there a chance that you might move at least once in the next fifteen years? 
Yes
No
Are you willing to take your Papillon with you, and restrict your choice of housing to places where pets are allowed?
Yes
No

REFERENCES

Please provide three names as references, including your landlord (if you rent your home), and your veterinarian, groomer, or dog trainer (if you have one).  If you belong to a dog club or any dog-related group, include the name of an officer or associate.  Other references could include a neighbor, your employer, a friend, or relative who owns a Papillon, another Papillon or another high maintenance breed (such as a Poodle or Afghan Hound).
Name: Relation to you: Phone:
Name: Relation to you: Phone:
Name: Relation to you: Phone:
Please share with us any information about your home, work, family, other pets, goals, dog achievements, etc. The more information you provide, the better it helps us to get to know you.
Thank you for taking the time to complete this questionnaire. We appreciate your efforts. All information will be confidential and used only by Le Bijou Papillons.

To secure a puppy, a $300.00 deposit is required. This is non-refundable once puppies have arrived.

Fondly,
Elisa Kamens
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