This completed questionnaire will help us pick out the very best puppy for you, your family and your lifestyle.  It is very important that we find the best possible buyer for each puppy.

Please fill out all of the information requested.  Thank you.

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Name *

Address *

City, State, Zip *

Telephone *

Occupation *

Number of Adults in your Household *

the of where

Number of Children in your Household *

What type of area do you live in? *

• City
• Suburban
• Country

What type of House? *

• Apartment
• Condo
• House
• Other

If you rent or lease, do you have permission from your landlord to own a Rottweiler? *

• Yes
• No

What breeds of dogs have you previously owned? *

What happened to these dogs and how old were they? *

Do you have other pets in your home? If so what type are they? *

How did you hear about our Rottweilers? *

Do. you have a preference to what sex the puppy is? If so, why? *

Do you have a fenced-in yard? If not, where will the puppy be exercised? *

Which member of the family will be taking the major responsibility for raising this puppy? *

Would you take your Rottweiler to an obedience class? *

Will the puppy live in the home? *

Where will the puppy sleep at night and be kept when there is no one at home? *

Do you believe in crates? *

Who is the veterinarian that you would use? *

Please list below the names, address and phone number of two personal references that have known you for at least two years. *

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