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Puppy Questionnaire



This puppy questionnaire is the first step in the interview process. You must fully complete the questionnaire to be considered as a potential home. There is a section at the end should you want to include any additional information not covered in the questions.

Name: (required)


City, State, ZIP:

Phone Number: (required)

E-Mail Address: (required)

How did you hear about us?

Is this the first time you have owned a Rottweiler? Yes No

Why do you want to own a Rottweiler?

Are you looking for a:     Male     Female     Puppy     Older Dog

What specific qualities are you looking for in this dog? What are your goals for this dog?

About your family:
How many adults live in your home?

How many children?    Ages of children:

Do you currently own any dog(s)? Yes No
If yes, what breed(s) and age(s)?

Do you own any other pet(s)? Yes No
If so, what type(s) and age(s)?

Please tell us about your lifestyle, work schedules, activities, etc.

About your home:
Is the area that you live in Rural Suburban City

Do you Own Rent
Will this dog live Indoors Outdoors
Will this dog have access to a fenced yard? Yes No
Are you comfortable crate training your puppy? Yes No
Are you committed to caring for this dog for its entire lifetime? Yes No

Please tell us the reasons you want to own one of our Rottweilers.

Please tell us about your past experience with dogs. List all the dogs you have owned and what happened to them.

Please list any dog-related clubs you belong to.

Please provide us with two references. If you have previously owned a dog, one of the references must be a breeder, veterinarian, or trainer.

Please include any information not covered in the questions above that you would like us to consider.

I acknowledge that this information is true and correct. I understand that sending this application does not automatically entitle me to a dog, nor does it obligate me to purchase one. I also understand that this questionnaire is just the first step of the interview process. (required)
Agree Disagree






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