Puppy Placement Questionnaire:

Thank you for visiting us and and some of our dogs at starzpuppypawprintshihtzus.com.

If you are interested in one of our puppies, please complete the following questionnaire.

Cut and paste this into an email and forward it to me at starzwillshine@gmail.com

Your assistance in completing this questionnaire will help us to place the right puppy with you. Please realize there are about 21 Questions, please answer each of them honestly & completely. If you feel that additional information would be helpful, please include it at the bottom. All information will be kept confidential. Thank you for your cooperation and interest in our Shih Tzu's and Yorkie's.

Your Name:




Home phone:

Other contact Number:


Best time to contact you:

Who referred you or how did you hear about us?

1. How did you learn about Shih Tzu's or Yorkshire Terrier?

2. What are you intentions with this puppy - Pet/Companion, Show,Breeding?

3. Do you have Children and if so what are there ages?

4. Who will take Primary care of the puppy?

5. Where will your new puppy spend most of it's time?

6. Are you a breeder?

7. What Characteristics and Qualities are you looking for in a Shih Tzu or Yorkie?

8. What Behaviors would you find Intolerable in your dog and how would you curb the behaviors? is excessive barking,nipping,biting,chewing,digging,growling,defecating(house breaking)

9. What gender of Puppy are you looking for?

10. Are you willing to take the Alternate?

11. Preferred Color?

12. Are you willing to spay and neuter your puppy, if adopting for a pet only per my spay and neuter contract?

13. Are you interested in adopting this puppy as a gift?

14. Does everyone in your family want a Shih Tzu or Yorkshire Terrier?

15. Do you realize that dogs often live longer than 10 years and are you willing to assume responsibility for that.

16. Do you own any other dog's or pet's if so please list breed?

17. Are you able to pick up your puppy?

18. Please supply two references with names and phone numbers:

19. Please provide your name, address and phone number of your vet.

21. All of my puppies are sold on contracts tailored to each pets needs. One of the specification in my contract is that if at any time during the pets life you are no longer able or willing to keep him/her then you are to contact me and the pet is to come back to me; this is not negotiable. This Shih Tzu or Yorkie is to never be given away, sold, placed in rescue, animal shelter or a pet store. This includes giving this Shih Tzu or yorkie to a friend, family member, neighbor etc. Do you understand this?

If there is anything else that would be helpful information to provide us please do so

I certify the above is true and that false information may result in nullifying this adoption. Starz Puppy Paw Prints has the right to refuse adoption to anyone. I understand that no animal can be held for me without a Non Refundable "Holding Fee".

Please return this questionnaire via email or regular mail. If you have any questions or concerns please feel free to contact us.


Email: starzwillshine@gmail.com