BLU MAJIC’S PLACEMENT QUESTIONNAIRE

We use the following questionnaire to assist in the adoption process. Your cooperation is strictly voluntary; however, it's important toward making the best possible match between you and a Blu Majic puppy. So please take the time to carefully consider and return the information requested here. First, let's begin with some personal information about you and your family.

Last Name(s): / First Name(s):
Address: / Date:
City: / State: / ZIP:
Home Phone: / Work Phone:
Home email: / Work email:
Any children or grandchildren? Yes No / If YES, their ages:
How large is your yard? / Is it fenced? Yes No
Do you have other animals? Yes No
If YES, what are they?
How close is your nearest neighbor? / Will barking be a problem? Yes No
How many hours per day will this animal be left alone?

Care and grooming is essential to the general condition and health of your pet.

How much time are you willing to spend grooming? (check the most appropriate)
>2 Hrs/Mo 1-2 Hrs/Mo 1-2 Hrs/Wk 1-2 Hrs/Day Sent out for grooming
Which brand(s) of dog food are you planning to use?
If you have other animals, do you have a regular veterinarian? Yes No
Name:
Phone:
Who will be responsible for the daily care of this animal?
If sold as a pet, are you willing to spay or neuter this animal? Yes No
If NO, please explain:
Where will this dog be kept over an average 24-hour period (number of hours each)?
Daytime / Inside: / Outside: / Nighttime / Inside: / Outside:
If traveling, where will you board your dog?

Before choosing a dog, it's best to become familiar with the various breeds.

Have you owned this breed before?YesNo / If YES, when & how long?
If NO, how did you come to choose this breed?
Have you ever owned or do you now own another breed? Yes No
If YES, what are/were they?
Have you ever given any pet to a rescue organization or Humane Society? Yes No
If YES, why?
Do you desire a particular color or markings? Yes No
If YES, what are they?
Are you seeking a male or female? / MaleFemaleNo Preference
If you prefer a particular sex, why?

Part of proper pet care is training, and of course, dog shows are a lot of fun too.

Ever attended an A.K.C. sanctioned event as a spectator or exhibitor? Yes No
If YES, what events have you been to, and was the experience fun?
Have you and your dog earned any titles, including the Canine Good Citizen? Yes No
If YES, please, feel free to brag:
Are you planning to show or exhibit this dog? Yes No
If yes, in what event(s)? (Please check any and all that apply)
Conformation Obedience AgilityHerding Field Trials Tracking Other
If you are not interested in showing, are you willing to obedience train? Yes No
If NO, why not?

Before making a final decision, one must consider the costs. (Check any that apply)

How much were you planning to spend? / Purchase Price: / Upkeep:
Health: / Boarding: / Toys & Treats: / Specialty Items:
Do you presently own any dog-related equipment and if so, what types? Yes No
Bowls / Leash & Collar / Exercise Pens / Crate
Brushes / Scissors / Hair Clippers / Nail Clippers
Have you priced any of the following, and if so, please indicate below?
Vet Care / Boarding (trips) / Grooming / Licensing
Training / Food / Equipment

Please list at least 3 personal references, including telephone number.

Lastly, to track our advertising effectiveness, how did you hear about Blu Majic?

Thank you for taking the time and trouble to answer these questions. I realize this process may seem somewhat formal, but our reason for asking is because of our strong dedication to the improvement of the Standard Poodle. I must caution you that this form is simply a questionnaire, and in no way constitutes a contract between Blu Majic Poodles and any prospective buyer. Its only purpose is to give better insight toward the best possible placement for both you and your prospective pet. Again, the reason is simple, to ensure every effort will be taken to ensure Blu Majic puppies are placed in just the right loving and nurturing environment, as I’m sure you will provide.

Sincerely,

Louann Currey

Louann Currey, Breeder

Blu Majic Poodles

Return completed questionnaire to: Blu Majic, 8351 Wakeford Rd, Lake Wales, FL 33898

Questions may be addressed to the same or phone 917-318-4767 (cell) or email