This Questionnaire is for the purpose of selection and placement of a Dog/Puppy in a positive environment. Any and all information provided herein will be used solely for that purpose. Please be as detailed as you can in your descriptions or it may effect the decision of the breeders to consider you as a good home. If, for any reason, we do not have a Puppy/Dog that fits with your requirements, we will forward this questionnaire to another Code of Ethics Kennel.
Name of future owner *
Address *
City *
State *
Zip *
Home phone number
Work phone number
Cell phone number
Email address
What time is best to call if we need to reach you? *
How were you referred to us? *
Why are you interested in obtaining a dog from Von Herrschend Rottweilers? *
What are you interested in? (Please check all that apply) * Puppy
Adult
Male
Female
Information only
Structure/Size Preference * Large/Robust
Correct to standard
Small
No preference
Reason for owning one of our dogs * Companion/pet
Show/breeding
Obedience
Protection/working
Tracking
Carting
What qualities do you expect in this breed? *
What qualities do you not want in this breed? *
Is this your first time with the breed? *
Why do you want to own this breed? *
Do you presently have animals at home now? *
Tell about any previously owned dogs: *
Have you ever gotten rid of a dog for any reason? If you have, please explain why.
Have you examined our Contracts/Agreements? * Select one Yes No
Do you understand the Spay/Neuter Agreement for pets? * Select one Yes No
Are you committed to caring for this dog for it's lifetime? * Select one Yes No
Do you have a training facility in your area? * Select one Yes No
If you are considering breeding, do you understand our policy on required OFA and other health exams prior? * Select one Yes No
Can you contact us prior to breeding for information that might benefit the offspring of this Rottweiler? * Select one Yes No
Marital status * Select one Single Married Divorced Widowed Engaged Other
Do you have children? * Select one Yes No
If so, how many? 1 - 2 3 - 4 5 - 6 7+
What ages?
Others in the household that will have contact with dog? *
Who will be responsible for this Puppy/Dog? *
Where will this Puppy/Dog stay during the day? *
Where will this Puppy/Dog stay during the night? *
Which of these choices best describes your area? * Select one Urban Suburban Rural
Do you own or lease? * Select one Own Lease
Home or apartment? * Select one Home Apartment
Do you have a fenced in yard? Select one Yes No
Have you read information about Rottweiler care, training, and understand the responsibilities? * Select one Yes No
Do you have all necessary equipment, such as a proper crate and other materials, for your Puppy/Dog? * Select one Yes No
What will be the Puppy/Dog's primary diet? *
Have you checked into Breed/Training Clubs in your area? * Select one Yes No
Where is it located and who will be training with you and your Puppy/Dog? *
Any additional information that may help us make our decision?
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