Form
Renaissance Dobermans
Puppy Questionnaire
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How did you hear about us?
*
Why do you want a Doberman?
*
What temperament and qualities are you looking for in a puppy?
*
Have you every owned a Doberman? Do you currently own one?
*
What other breeds have you owned?
*
How many dogs currently live at your house?
*
Please list each pet in the household. (Breed, age, neutered/spayed/intact, male/female)
*
How long did you have your previous dog(s)?
*
Did your previous dog(s) live their entire life with you?
Please Select
Yes
No
If not, please explain:
What sex do you prefer?
*
Please Select
Male
Female
Do you have a specific reason why you would prefer a male/female?
*
Color Preference? (We do not breed Dilutes)
*
Please Select
Black/Rust
Red/Rust
No Preference
Where will the dog be living?
*
Do you own or rent?
*
Please Select
Own
Rent
If renting please give name, address, phone number and email address of landlord:
What kind of home to you live in?
*
Please Select
House
Condo
Apartment
Mobile Home
How long have you lived at you present address?
*
Do you have a fenced in yard?
*
Please Select
Yes
No
Does anyone in your household have pet allergies?
*
Please Select
Yes
No
Number of adults in the home?
*
Are you?
Married
Single
Long-term Relationship
Number of children in the home?
*
Name and phone numbers of three non-relative references who do not reside in the same household.
*
Employer, Employer Phone Number and How long have you worked there?
*
Are you active military?
*
Please Select
Yes
No
What activities do you want to participate in? (Please check all that apply.)
*
Breeding
Rally
Obedience
Agility
Companion/House Pet
Conformation Shows
Companion for other Pets
Barn Hunt
Therapy Work
Other
Have you ever earned AKC or other titles on a dog?
*
Please Select
Yes
No
What are your preferred training methods?
*
Do you work with a professional trainer?
*
Do you understand that this is a working breed that requires consistent training?
*
Do you have an established veterinarian?
*
Please Select
Yes
No
If so, please list name, phone number and address:
Where and whom will your Doberman be in the following situations: (When you are at home, when you are at work, when you are on vacation or out of town, and at night)
*
Do you use a crate? If no, please elaborate.
*
Yes
No
Reason why you object to crate training:
Will this Doberman be a gift?
*
Please Select
Yes
No
Do you have a plan for providing your Doberman with exercise?
*
Please Select
Yes
No
Would you be willing to allow me to visit your home?
*
Please Select
Yes
No
Do you agree to return your Doberman to me in the event that you are unable to keep the dog for any reason?
*
Please Select
Yes
No
Do you agree to keep in contact with me, Shannon DeMarco, throughout the life of the dog?
*
Please Select
Yes
No
Submit
Should be Empty: