Puppy Questionnaire
All fields must be completed for the form to send. If Not Applicable enter N/A
All fields must be completed for the form to send. If Not Applicable enter N/A
Introduce yourself
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Your Name
Spouse/Significant Other(s) Name
Address/City/State/Zip
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Email
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Telephone
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Do you work outside the home?
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YES (Full Time, 30+ Hours/Week)
YES (Part Time, 20 Hours or less/Week
NO
If Yes, what will you do with puppy while you are away?
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Your Occupation and Employer
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Spouse/Partner's Occupation and Employer
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Children/Others living in the home. First Name and Age
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Current Pets, (Type, Sex, Age)
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Your reasons for wanting a Doberman
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Companion/Pet
Show (Conformation)
Performance (Obedience, Agility, Rally, etc.)
Schutzhund or other Protection Sport
Breeding
Service/Therapy Dog
If Service/Therapy, what duties would the dog need to perform?
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What is your preferred timeframe to acquire a puppy?
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Yesterday!
1-3 Months
3-6 Months
6 Months to a Year or More
Do you or have you owned a Doberman? If yes, where is it now?
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What Color/Sex are you interested in?
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Black Male
Red Male
Male, No Color Preference
Black Female
Red Female
Female, No Color Preference
Will you consider another color/sex if your preferred is not available?
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Have you owned a Show or competitive performance dog?
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YES, SHOW
YES, PERFORMANCE
NO
If YES, Provide dog's REGISTERED name, Breed & Title(S).
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Please tell us a bit about your lifestyle, hobbies and activity level
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Where will your Doberman Live?
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Indoors, in my home
Outside, in the back yard
Ourside, in a kennel
At a business
In a garage/barn
Do you have a securely fenced yard/area?
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YES
NO
Type & Height of Fence (i.e. - Wood, Chain Link - 4 ft, 6 ft, etc.)
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If no fence, are you willing to install one?
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Do you have a swimming Pool?
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YES, built In
YES, above ground
NO
If yes, is pool fenced off?
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Where will your Doberman stay when you are away from home on vacation, etc.?
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Do you Own or Rent your home?
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OWN
RENT
If RENT, Name, Address & Phone of Landlord.
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Who carries your homeowner's or renter's insurance?
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Veterinary Reference (Name, Address, Phone)
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Personal Reference (Name, Relationship, Phone) NO FAMILY MEMBERS!
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How did you hear about us? If you were referred by someone, please tell us who, so we can thank them.
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Additional information, comments, questions, etc.
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