First Name:
Last Name:
City & State:
E-mail address:
Phone number:
1.) Why have you decided to purchase a Great Dane?
2.) What breed(s) of dog have you owned in the past?
3.) Do you currently have any other pets?
Yes
No
If yes, what types, ages and temperament?
Are they spayed or neutered?
Yes
No
4.) Have you ever purchased a dog and then later sent it back to the breeder or placed it in another home?
Yes
No
If yes, why?
5.) Have you ever had to put a pet down (euthanize)?
Yes
No
If yes, please explain the reason:
6.) Do you currently have a veterinarian that you use?
Yes
No
If you would like to offer your vet as a reference, please provide the vet's name and telephone number here:
Please describe your family and home...
7.) Number and ages of any children in your household? (If there are no children, do you have regular visitors who are (or bring) children? i.e. nieces, nephews, cousins, etc.)
8.) Are all the members of your family in complete agreement and committed to the decision of purchasing and raising a Great Dane puppy?
Not sure
Yes
No
If "no" or "not sure", please explain:
9.) Do any members of your family have any known types of allergies to dogs or other animals?
Yes
No
Not sure
10.) Which best describes the area where you live?
Urban
Suburban
Rural
11.) Do you live in a: single family house, duplex, condo, apartment, etc.?
> Do you:
Rent
Own
If you rent, have you checked with your landlord (and/or association) about getting a Great Dane (a giant breed dog), and will you be able to provide proof of authorization?
Yes
No
12.) Do you have a completely fenced in yard?
Yes
No
If yes, what type of fencing and how high is it?
If no, where will your puppy be allowed to eliminate and exercise daily?
13.) Is a member of the family home throughout the day?
Yes
No
If no, how many hours per day will the puppy/dog be left alone?
Where would the puppy/dog be housed during the day if/when no one is home? (i.e. loose in the house, crate, kennel, yard, confined to a specific room.)
Please describe what you are looking for in a Great Dane puppy...
14.) Why are you interested in purchasing a Great Dane? (You may select more than one)
Companion (family pet)
Showing
Obedience (competition)
Breeding
Therapy dog
If you selected "showing", do you have prior showing experience?
Yes
No
15.) Do you have a gender preference?
Male
Female
No preference
16.) Do you have a color preference?
Yes - please specify:
No preference
17.) If your preferred color or sex is unavailable in the litter you are interested in, would you consider other options?
Yes
No
18.) Have you done your research and are you familiar with:
-The general care requirements of a Great Dane (both puppy and adult)? (i.e., Feeding/nutrition, exercise, grooming, etc.)
Yes
No
-The potential health issues associated with Great Danes?
Yes
No
-The amount of attention, patience, training and love that is required by Great Danes (both puppy and adult)?
Yes
No
19.) Are you willing to spend the time to properly socialize and train the puppy you plan on purchasing?
Yes
No
20.) Are you aware of the costs involved in properly raising a Great Dane puppy to adulthood, and are you prepared to take full responsibility for these expenses for the life of the dog? This includes not just the initial purchase price of a well-bred pup but also the veterinary care, food, training, supplies, etc.
Yes
No
> Any additional information that you would like to include about yourself or your puppy inquiry?
Thank you for taking the time to complete this form. Please click on "Submit" and I will review your questionnaire and send a response as soon as possible. "Reset" will clear all fields.