Bendegeit Mastiffs Puppy Questionnaire

Please state your name, address, and occupation::*

How can we contact you? What is the best time?:*

Do you live in::*
a large city (>50,000 people)
a large town/small city (5,000 - 50,000)
a small town (<5,000 people)
the country

Where do you live?:
Apartment
Condo
House
Mobile Home

How long have you lived at this address? :*

Do you own or rent? If you rent, do you have written permission to have a Mastiff in the house?:*

How many people live with you? Do you have children? If yes, what are their ages? :*

Does anyone in your household have allergies to animals? If yes, to what to and how severe? :*

How did you find us/Who were you referred by?:*

How, where, when did you find out about Mastiffs?:*

How many individuals of this breed are you acquainted with? :*

What reference materials have you read? :*

What do you expect the activity level of this breed to be: :*
Below Average
High
Moderate
Very High

Have you ever owned a dog before? :*

Do you have any other animals? :*

Name, address and phone number of your veterinarian: :

Who will be the primary care giver? :*

Where will the puppy be kept during the night? During the day?:*

Is anyone home to feed and exercise the puppy during the day? :*

If not, who will feed and exercise the puppy in your absence? :*

How many hours on the average will the puppy be left alone? :*

How many hours a day will the puppy be outside? :*

Do you have a fenced yard or suitable pen? :*

How will he be confined when he is outside? :*

Have you considered an older dog instead of a puppy? :*

Are you interested in a male or female puppy? :*

At what age do you wish to get the puppy? :*

What kind of floor surfaces will the dog be on in the house? :*

Have you ever house trained a dog before? :*

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? :*

How long did your last pet live? What were the circumstances of his/her death? :*

Have you ever returned a pet to the breeder? If so, what were the circumstances? :*

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? :*

Are you interested in showing the dog in the conformation ring? :*
yes
no

Have you ever shown a dog to a championship? :*

Are you interested in competing in performance events such as obedience, agility, hunting, herding?:*
yes
no

Have you shown a dog to any performance titles? :*

Do you intend to breed the dog? :*

Do you understand the difference between a Non-Breeding Registration and a Full Registration? :*

Do you have any questions for me at this time?:*

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