L'Etoile Bichons
Prospective Owner Questionnaire
Customer Information:
                                                                                 Date:   
Contact Person:   
Address:   
City/State/Zip:   
Phone Number:   
E-mail:   
Other adult household members names and occupation:   
Ages?   
Your Interest In Bichon:
What interests you about the 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
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?   
Bichons must be crate trained and can take several months, are you willing to put in the time, and is someone home full-time to care for a puppy?
Yes  No
How long do you think it should take to housebreak your puppy?   
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:   
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?:   
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
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.    



Denise Clapper

Clearwater, Florida 33756
727-474-7181
letoilebichons@aol.com