top of page

You can copy and paste this form to Word and email , or I can email you the form. I require one for every sale.

 

Thank you for your interest in our dogs. Please completely fill out the following questionnaire. All information is treated as confidential. If some of the questions seem intrusive, please understand that we are dedicated to taking good care of our dogs and finding the best possible homes for them. Your cooperation will help us match the right dog to you, your lifestyle, and your circumstances 

(When providing your address please provide Physcial address of home.)

 

 

Name: 

 

 Spouse's Name : 

 

 *Street Address : 

 

 *City : 

 

 *State : 

 

*Zip Code : 

 

*How long have you lived at this address? 

 

 

*Do you expect to move in the near future? 

 

 Yes

 No 

 

*Home Phone Number : 

 

 Work Phone Number : 

 

 *Email : 

 

 *Occupation : 

 

 How long have you worked at your present job? 

 

 Spouse's Occupation : 

 

 How long has your spouse worked at his/her present job? 

 

 

*Age, Sex, and Relationship of ALL Household Members, including youself : 

 

 

 

 

*Do you have children visiting regularly? If so, list ages. 

 

 

*Who will primarily be responsible for this dog? 

 

 *Is this dog to be a gift? 

 

 Yes

 No 

*Would you consider you/your household active or sedentary? 

 

 

*Does anyone in the household have allergies to animals? If so, explain the type of allergy. 

 

  *Do you have a vet? 

 

 Yes

 No 

*Please give us the names and phone numbers of at least two references that we may contact (neighbors, trainers, breeders, etc. No family members, please.) 

 

 

 

 

*List all types, breeds, ages, and sexes of ALL animals currently in the household (indicate if spayed or neutered). Also, tell us how long you have owned each animal and where the animal is kept. 

 

 

 

*Are they current on heartworm preventative? If so, which one? 

 

 

*Have you ever been charged with animal neglect or cruelty? If yes, give details. 

 

 

 

 *What personality/behavior traits are you looking for in a German Shepherd?

 

 

*What personality/behavior traits would not be acceptable? 

 

 

*Sex preference 

 

 Female

 Male

 No Preference 

 

*Color Preference 

 

 

*List your plans and goals for this dog (pet/companion, protection, obedience work, agility, etc.). 

 

 

 

*Where will the dog sleep? 

 

 *How many hours would your GS be alone each day? 

 

 

*Will the dog primarily be indoors or outdoors. Please explain. 

 

 *When considering a puppy, will you be able to make arrangements for midday visits, since puppies need to go out every four hours or so to be housebroken? 

 Yes No

 

What would be your response if the dog had an "accident" in the house? 

 

 

*I would consider my level of experience with dogs as: 

 

 Beginner

 Intermediate

 Advanced 

 

*How much time per day would be spent playing/training the dog? 

 

*Is the dog to be fenced in, tied out, or let loose? 

 

 *Do you have a secure fenced yard or area for the dog? 

 

 Yes

 No 

*If you do not have a fence, what arrangements will you have for the dog’s exercise & elimination requirements? 

 

 

 

*If you do not have a fenced area, would you be willing to install one? 

 Yes

 No 

*What type/brand of dog food do you use? 

 

 *Please describe your neighborhood: 

 

 Rural

 Suburb

 City 

 

*Please describe your home (house, apartment, condo, mobile home, other).

 

 

 

 

*Do you own or rent your home? 

 

 

 

*Do you understand that this breed is a working/companion dog that requires exercise, training, attention, and human companionship? 

 

 Yes

 No 

 

 

 

.

 


1-740-380-1112
bottom of page