Chicago K9

Chicago K9

Dog Placement Questionnaire, This information is Encrypted and Password Protected
Full Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Preferred Method of Contact:
How did you hear about us?*
Are you looking to Train or Purchase a dog?
Why are you interested in purchasing a personal protection dog?
Number of Household Members (including yourself)
Ages of Household Members
Any Household Allergies to Dogs?
Please List Any Household Members with disabilities/medical concerns
Living Environment
Household Type
If Other:
Where Is/Will Your Dog Be Kept in the Building?
Describe Household Habits (frequency of visitors, typical length of departures, etc.)
Describe Handlers Daily Schedule including Key Weekly Activities
Describe Areas of Schedule Dog will be Accompanying Handler
Describe the Reason/Purpose for Pursuing Ownership and/or Training of a Personal Protection Dog
Describe Your Experience with Dogs
Describe Your Experience with Protection Dogs
Existing Dog Owners
Dog's Name:
Dog's Breed:
Dog's Gender:
Dog's Approximate Date of Birth:
Is your dog from a breeder? Which one?
Has your dog been bred for Sport, Bite Sport, or PPD?
Which Program are you interested in?
Has your Dog Received Prior Training? If so, what kind?
Will Your Dog Need to be Proofed around Gunfire?
For Purchasing
Ideal Size of Dog
Ideal Breed
Male or Female Dog
Who will be the Primary Handler
Should be Empty:

Existing Dog Owners