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Please take your time and fill out our questionnaire. This Questionnaire will help us with selecting a pup to match your requirements. It also helps us to be sure our pups go to good homes. Thank you.

Please be sure to put in your correct email and phone number.  We receive many questionnaires that we cannot reply to because the email address is incorrect . Thank you.


  1. Please provide the following contact information:

    Name
    Street Address
    Address (cont.)
    City
    State
    Zip Code
     Phone
    E-mail
  2. How did you find us?


  3. What sex are you interested in?

    Male
    Female
    Sex does not matter

  4. Do you have children?

    Yes No

  5. Please list the ages of your children.


  6. Do you own or rent your residence?

    Own
    Rent

  7. Do you have a fenced yard?

    Yes No

  8. If not, how will you provide security for your puppy when it is outside?


  9. Is there someone home during the day, or able to get home to "exercise" the puppy?

    Yes No

  10. Will this puppy have regular contact with the famiy during the day?

    Yes No

  11. Where will the puppy spend the evening?


  12. Have you owned a german shepherd before?

    Yes No

  13. What other breed(s) of dog have you owned before?


  14. Do you still own the dogs mentioned above?

    Yes No

  15. If not what happened to the dog(s)?


  16. Have you ever given up a dog to a shelter or pound?

    Yes No

  17. If so Why?


  18. Do you own any other types of pets such as birds, cats, etc?

    Yes No

  19. If so, please list the other type of pets.


  20. Do you have a veterinarian?

    Yes No

  21. Please give us the name, address and phone number of your veterinarian.

    Name
    Organization
    Street Address
    Address (cont.)
    City
    State
    ZipCode
    Phone
    FAX


 

Ancram, New York

518-398-9291  


Email
dujondogs@yahoo.com

 

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