Puppy Questionnaire 
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Email *
Last Name *
First Name *
Email Address *
Phone Number *
Address (House number  Street) *
City *
State *
Zip Code *
How long have you lived at this address? *
Referred by: *
Type of dwelling:  *
If  renting, please give the name and address of landlord:
Name, Address, Phone of your veterinarian: *
Who would be the primary care giver? *
How many individuals of this breed have you been acquainted with? *
Is there a city ordinance against owning a doberman? *
What reference materials have you read? *
Where would the puppy be kept during the night? *
Where would the puppy be kept during the day? *
Is anyone home during the day? *
How many hours on average would the puppy be left alone? *
Would there be someone available to feed/exercise the puppy during the day? *
Have you ever owned a dog before? *
How long did your last pet live? What were the circumstances of its' death? *
Do you have any other animals? (If yes, what do you have? Include age and sex) *
Do you have any children? (If yes, list ages) *
Does anyone in your household have allergies to animals? (If yes, to what and how severe?) *
Are you interested in a male or female puppy? 
(If you are flexible it greatly increases your chances of gettting a puppy from the litter in which you are interested.  Also, it helps the Breeder find just the right puppy for your family's lifestyle.  If you are not flexible, you may need to wait for another litter.)
 *
Male
Female
Flexible
First Choice
Second Choice
Do you have a color preference? (select all that apply) *
Required
What age do you wish to get the puppy?  *
What do you expect the activity level of this breed to be: *
How many hours a day would the puppy be kept outside? *
How would the puppy be confined when he is outside? *
Do you have a fenced yard? (If so, what type?  Privacy, chain link, Invisible, etc.  and include height) *
Have you ever trained a dog before? *
Would you be attending any training classes with this future puppy?  Who is the trainer or organization?  What age would you start? *
Which activities or competitions are you interested in? (Examples: obedience, rally, agility, schutzhund) *
Are you interested in showing in the conformation ring? *
Have you ever shown a dog to its' championship? *
Have you shown a dog to any performance titles? *
Have you ever returned a pet to the breeder? (If yes, what were the circumstances?) *
Have you ever given a pet away?  (If yes, what were the circumstances?) *
Have you ever taken a pet to a pound/shelter?  (If yes, what were the circumstances?) *
Do you intend to breed the dog? *
Do you understand the difference between a limited registration and a full registration? *
Is there anything else you would like to tell us about yourself? *
A copy of your responses will be emailed to the address you provided.
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