Puppy Questionnaire

Name *

First

Last

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Gender you are interested in *

Male Female

Which specific qualities are you looking for in a Rottweiler? *

Have you ever owned a Rottweiler or large working breed before? *

Yes No

Are you willing and able to attend basic obedience training with your new puppy? *

Yes No

What are your goals for this dog? *

Tell us about your family - how many adults live in your household? *

How many children and ages? *

How many dogs live with you now? *

Any Other Pets? *

Tell us more about your lifestyle, pets, schedule, etc. *

Tell us about your home - which type of area do you live in? *

Rural Suburban City

Do you? *

Rent Own

Where will your dog live? *

Indoors Outdoors Combination of Both

Will your dog have access to a fenced yard? *

Yes No

Tell us about your previous experinces with dogs. Please list all of the dogs you have owned and what happened to them. *

Please list any dog clubs or organizations you belong to. *

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

Please include any other infomation that you would like us to consider *

Submit