Name Address City/Town State/Province – None –AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip/Postal Code Email Address Phone Number How did you hear about us? Why would you like to own a pup from us? What gender of puppy are you looking for? – Select –MaleFemaleNo Preference Have you ever raised a puppy? – Select –YesNo Do you have any pets now? – Select –YesNo If so, what kinds? Do you have any children? – Select –YesNo If so, what are their ages? Is someone in your household home during the day? – Select –YesNo If not, where will your dog be kept while you are out? What type of home do you live in? – Select –HouseCondoApartment Where will your dog spend most of his/her time when he/she is at home? Do you have a fenced yard or other type of enclosure for a dog? – Select –YesNo If so, please describe. Do you work outside the home? – Select –YesNo If yes, – Select –Full TimePart Time If you work, will your puppy be left along all day? – Select –YesNo I agree to provide the dog with proper housing, food, and veterinary care for its lifetime – Select –YesNo Coat Type Curly FleeceWavy Fleece What size/weight range do you desire? – Select –Petite – 14 to 25 lbs.Miniature – 26 – 35 lbs.Medium – 36 – 55 lbs. Do you want to reserve a puppy from a certain litter? YesNo Do you or anyone in your household have allergies? – Select –NoMildModerateSevere Have you ever relinquished a dog to an animal shelter? YesNo What type of coat do you desire? – Select –Wavy – flat coated, will shed; looks like Golden Retriever, just a little less sheddingWavy to curly – the shaggy coats may shed slightly in F1, mostly no shedding in multi generationCurly – absolutely no shedding What type of energy level are you looking for? What type of personality are you looking for? Would you need your puppy shipped via plane or would you pick up your puppy in person (we are located in Missoula, Montana)? – Select –Shipped by PlanePicked up In-person If shipping is required, which major airport is closest to you? Second airport choice? Is there anything you would like us to know that hasn’t been covered in this questionnaire? Do you have any questions you would like to ask about Poodles & Doodles of Montana or about our breeds in general? Submit Name Should be Empty:
