Questionnaire

Are you interested in becoming the parents of a beautiful German Shepherd Pup?

If so, please fill out this brief questionnaire and we’ll contact you at our earliest convenience.

Name: *
Address: *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Physical address (if different):
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Email: *
Home phone:
Cell phone:
How did you find us? *
Your age: *
Are you willing to stay in contact with me for the life of the dog through email, Facebook, text or phone call? *
YesNo
Are there other adults in the home? *
YesNo
Are there children in the home? *
YesNo
If so, what are their ages, and have they been exposed to dogs before?
Were there ever any problems with your children and dogs?
YesNo
If so, explain?
Do all the family members agree on the addition of a German Shepherd Dog (GSD) to the family? *
YesNo
What is your knowledge of the GSD breed as a whole? *
Why do you want a GSD? *
Have you ever owned a GSD before? *
YesNo
If so, how recently?
Are you aware of the socialization needs of a GSD? *
YesNo
Do you feel you are capable of providing for those needs? *
YesNo
Who will care for this dog if you should become incapacitated, temporarily or permanently? *
Do you agree that, if for some reason you are unable to care for this dog, we will be contacted about the needs for its relocation and will have first right of refusal? *
YesNo
Do you own or rent your home? *
OwnRent
If you rent will your landlord give you written permission to have a GSD?
YesNo
What kind of home do you live in? (house, apartment, duplex, farm, etc.) *
How many hours will this dog be left alone per day? *
Is your yard fenced or do you have a fenced enclosure for the dog? *
YesNo
How large and of what type is the enclosure?
Do you ever let your dog run loose? *
YesNo
If so, what are the circumstances?
Will your dog be a house or an outside dog? *
HouseOutside
If outside, where will the dog be allowed to sleep during bad weather (rain, snow, freezing, etc.)?
Where will the dog be when no one is home? *
Will you crate train your dog? *
YesNo
Does your family have enough quality time to devote to a dog? *
YesNo
Are you willing to take responsibility for this dog for the next 12 or more years? *
YesNo
How long did your last pet live and what were the circumstances of its death?
Have you ever given a pet away, or rehomed a pet? *
YesNo
If so, what were the circumstances?
Have you ever relinquished a pet to a shelter or pound? *
YesNo
If so, what were the circumstances?
Have you ever returned a pet to a breeder? *
YesNo
If so, what were the circumstances?
How many dogs do you have now? *
What breeds?
Do you have pets, other than dogs? *
YesNo
If so, what are they?
Are you willing to enroll the puppy in at least one structured obedience class? *
YesNo
Do you prefer male or female? *
MaleFemale
Why? *
Do you have any reservations about the spay/neuter contract? *
YesNo
Please list three character references including phone number and email, who can tell us about your relationship with your pets? *
Further comments would be appreciated to help us be assured that the pup placed with you will be in good, forever home.

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