Questionnaire

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone

Email*

Occupation

Spouse/Partner's Name

Spouse/Partner's Occupation

Why are you interested in a Doberman?*

What is your gender preference?*

Male
Female
No Preference

What is your color preference?*

Black
Red
No Preference

What type of Doberman are you looking for?*

Pet
Show
Agility
Obedience
Service
Other

Please select all that apply

If you selected 'Other', please describe here.

On a show quality dog would you be willing to co-own?

Yes
No

Are you willing to spay or neuter a non-show dog?

Yes
No

Have you ever owned a Doberman before?*

Yes
No

Do you have any other dogs?*

Yes
No

If yes, how many?

If yes, what breed(s) are they?

If yes to either of the 2 previous questions, please give us the name and phone number of your veterinarian as a reference:

References

Please provide contact information for at least 3 people (and explain their relation to you) as references:

Name*

Phone Number*

Relation to you*

Name*

Phone Number*

Relation to you*

Name*

Phone Number*

Relation to you*

What is your marital status?*

Single
Married
Long Term Relationship

Do you have any children?*

Yes
No

If yes, how many?

What ages are they?

Infant
Toddler
Over 6 Years
Teenager
Grown Children

Please select all that apply.

Fenced Yard?*

Yes
No

Type of fence and how high

Do you have a large area available to exercise your dog?*

Yes
No

Please write a short description of the area that you live in.*

Do you live in the city, a suburb, the country, etc.? Do you live in a house, condo, apartment, etc.? Do you have a large yard? Is it fenced in? What is the approximate acreage of your property?

How did you hear about us?*

Please add any additional information or questions you may have here.

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Puppy Questionnaire

References