Puppy Questionnaire

Are you interested in a Denali Doberman?

Please fill in the form below and we will respond to you in the next few days.

* Required fields !                                                                                

* Your Full Name:
* Residential Address:
* City:
* State:

*Email Address:
* Telephone:
  Occupation:



  Spouse/Partner's name:
  Their Occupation:




* Date (time frame) by which you would like a new Puppy or Dog:

*Why are you interested in a Doberman?

*What is your color preference ?         (Multiple items may be selected)
Color Unimportant
Black/rust
Red/rust
Blue/rust
Fawn/rust

*Sex Required:
Does not matter
Male
Female

* Have you ever owned a Doberman before ?
Yes
No

If yes, how long did he/she live and what did he/she die of ?

Please give a brief description of this dog(s).
Please note: ALL the above fields marked with a red star must be completed or the form will not be sent!

Which of the following best describes you?
  Single
Married
Long Term Relationship

Number of Children and ages:  (Multiple items may be selected)
No Children
Infants
Over 6 years
Teenagers
Grown Family
 
What are your reasons for getting a Doberman?
Companion
Performance (obedience/agility/etc.)
Showing
Breeding
Other
  (Multiple items may be selected)

If showing, have you finished an American Championship on a dog before? If so what breed/breeds ?

If yes, do you show your own dogs or use a Professional Handler?
Show myself
Use a Professional Handler

On a show quality dog would you be willing to co-own?
  Yes
No

Have you ever put a performance title on a dog? If so what breed/breeds?

Where will the Doberman live?

    Have not decided yet
    Indoors (When I'm home)
    Outdoors (When I'm home)
    Indoors (When I'm away)
    In Kennel (When I'm on vacation)
    Outdoors (When I'm away)
    At business

Do you have fences?

None
Fenced Yard
Dog kennel or run

If a fenced yard, please describe type (eg wire, wood, invisible) and height.

Will the dog be around any of the following?

Other dogs
Cats
Other pets
Livestock
Children
Strangers (Occasionally)
Strangers (Regularly)
Situation may vary
(Multiple items may be selected) 

If Other Dogs, What Sex ?
Female
Male

Are you willing to accept an AKC Limited Registration
on a non-show dog?
  Yes
No

Are you willing to spay or neuter a non-show dog?
  Yes
No

If something should happen and you cannot keep your new puppy/dog, will you be willing to call us? And will you be willing to inform us of any change in your phone number or address ?
Yes
Will try to remember
No, not necessary

Would you consider buying a Doberman over 6 months old?
No, I really want a puppy!
Sure, Age is not important
Yes, depending on how old it is.

How did you hear about us?

Any additional information or comments ?