Puppy Questionnaire

Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail
Website Address

Own your home or rent?

How many adults and children live with you?

Have you ever owned a Dane?

       Yes     No

Yes No

If yes, give specific information concerning Dane.

If you have not owned a Dane, why do you wish to now?

Do you have a fenced yard?

       Yes     No

Yes No

Are you looking to show, breed, or find a personal companion?

Describe who will take care of Dane and how many hours the puppy will be alone.

Describe the sleeping arrangements for your Dane.

Use this space for additional information.