What is your First and Last name:
Address:City: State: Zip:
City: State: Zip:Type of dwelling.
Phone number:Cell number:
Cell number:How long at this address?
If renting, please give the name and address of landlord.
Your email: Do you have a fenced in yard?
Do you have a fenced in yard?Name, address and phone number of your veterinarian.
If you were referred to Talane Doberman's, by whom:
If for any reason you can not keep the puppy/dog will you contact me immediately?
Why would you like a Doberman Pinscher?
Are you interested in a male or female puppy?
What do you expect the activity level of this breed to be?
Have you ever owned a dog before?
Do you currently own any other dogs or cats? What kind and what sex?
How long did your last pet live? What were the circumstances of it's death?
Have you ever given a pet away? If so, what were the circumstances?
Have you ever taken a pet to a pound or shelter? If so, what were the circumstances?
Have you ever returned a pet to the breeder? If so, what were the circumstances?
Do you have any children? If yes, what are their ages?
How many people reside in your household? What are their ages and sex?
Who will be the primary care giver?
Where will the puppy be kept during the day?
Where will the puppy be kept during the night?
Is anyone home during the day?
How many hours on average will the puppy be left alone?
Will there be someone available to feed and exercise the puppy durning the day?
How many hours a day will the puppy be kept outside?
Have you ever trained a dog before?
Do you have any experience with cropped ears? Taping ears?
Will you be attending any training classes?
If yes, at what age will you start, which activities or competitions are you interested in, who is the trainer?
Are you interested in showing the dog in the conformation ring?
Have you ever shown a dog to it's championship?
Are you interested in competition in performance events such as Schutzhund, Obedience, Agility, etc...?
Have ever titled a dog in any of the above competition? If so, please explain.
Are you interested in breeding the dog?
Are you a member of any dog clubs? Please list.
Describe the "IDEAL" dog for your needs.
This form may be filled out on the computer by clicking on the line next to each item,then begin typing. You may then click the "Submit by Email" button below to email your questionnaire to Talane Dobermans.
