PrydWynn's Puppy Questionnaire

Pre-Purchase Questionnaire

Please fill in and answer all questions .. or simply type in N/A if the question is not applicable to you.
We will keep your answers private and on-file for referral when and if we are planning a breeding.
Thanks!
* Denotes Mandatory Information
Without the information that is indicated by an asterisk * , we will not keep your answers.

Your First Name* Your Last Name *Age*

Address-Street* City/Town*
State/Province* Zip/Postal Code*
Phone *Home *Cell Work
Email Contact (s)*

Are You Married?*
Yes No or Long-Term Relationship
How Long?
Children* Yes • No
If Yes - Boys • Girls • Ages*
Are you planning on enlarging your human family?*
Do Children visit you often? Yes • No • Do they stay overnight? Yes • No

To be considered for a puppy,
Please furnish us with three references who are not relatives
or living in the same home with you
(i.e.: *Your Vet (Mandatory), a Close Neighbor, Credible Acquaintance, etc...)
•
*Please answer in detail with name, address, email, & phone number,
as well as type and length of relationship. We will check these, so please be accurate.

1.*VET (Current or Prior)
2.
3.

Is there someone home during the day to stay with a puppy & who would that be?*

Where will the dog/puppy be when it is left alone?

Do you have a preference for: Male • Female • Sex Not Important
Color: Black/Rust • Red/Rust • Either (We do not breed for Fawn or Blue )

Are you inquiring about a: Show Prospect Puppy • Companion Puppy • Performance Puppy (Check all that apply)

If you checked show prospect puppy, do you plan on showing yourself or hire handler Yourself Handler

If you checked Handler, please give us Handlers name:

If you checked Performance Puppy are you going to do: Obedience Agility Rally Other

If you checked other, please tell us what other:

What are your ultimate goals for a Doberman?

How far are you willing to travel to pick up a puppy?

What are your living arrangements*: Home • Apt • Farm • City • Boat • Mobile Home
Acreage • Single Family Residence • Multiple Family (Check all that apply)
Do you Own • Rent • Lease • Share • Size of living area
Do you have any other animals who live IN or OUTSIDE of your home? Please describe. *
Do you have a fenced yard* Yes • No
How big is your yard *
How tall and what kind of fence *

Are you willing to have a "home check" made by a responsible Doberman person from your area*?
Yes • No
If NO, why not?

Please understand that home checks may be made on a random basis following puppy placement.
Or that a person asked by the breeder/seller may be come
to your home to verify that the puppy is being properly cared for.
This is acceptable to me This is Not acceptable to me
If Not Acceptable, why not?

Leash walks with your dog: Frequently • Daily • Weekly • Occasionally
Someone does it for me • None
If "none" or "occasionally" leash walks are checked, what kind of exercise would a Doberman be offered?
(Please try to be specific)
If "Someone Does it for me" is checked, who would that be?

Is this your first dog? Yes • No Have you ever owned a Doberman*? Yes • No
If YES, from whom did you get it/them?
When?
What happened to it (them)*?

If NO, have you spent any time with our breed? Please explain*

Miscellaneous Information Required

~Is anyone in your home allergic to animals ? Yes No
•
~If you rent or lease, do you have your property-owner's permission in writing to own a Doberman? Yes No
•
~ Are you familiar with Breed Specific Legislation (BSL)
i.e.: legislation in various states and provences that is attempting to make laws
prohibiting people from owning larger breed dogs? Yes No
•
~ Are you aware that some insurance companies may cancel your homeowner’s policy if you own a Doberman? Yes No
Have you checked with your insurance company/agent? Yes No
If your insurance agent has assured you a Doberman will not affect your policy, do you have that in writing? Yes No
•
~ I am now and plan to be consistently financially and physically able to care for this animal. Yes No
•
~ Are you aware of the diseases and problems in the Doberman breed that may or may not affect your puppy
even with proper health testing and diligence by the breeder Yes No
•
~ Do you understand that you may never sell or re home a puppy from us, but that it must come back to us.

If you do not or cannot keep it for any reason during its entire lifetime?

If Breeder determines abuse of any sort, will you return the dog?
And that the return to us will be at your expense?
Do you have any objections to this?* Yes • No
If Yes, what are your objections?

What is it about a Doberman that you like and why do you want one?

Thank You So Much
for taking the time to send us information about you and your family.

By submitting this application it will become part of the contract if a puppy is placed with you.

The data you have sent reassures us that you are definitely a person
who is showing a genuine interest in a quality PrydWynn Doberman Puppy!

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