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.Thank you for contacting Von Herrschend and good luck in your search!
Name of future owner
Address
City
State
Zip
Home phone number
Work phone number
Cell phone number
Email address
Website, if applicable
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?
What are you interested in? (Please check all that apply)
Puppy
Adult
Male
Female
Information only
Handling services
Pedigree research
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 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
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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