Puppy Questionnaire

First Name

Last Name

Address

City

State

Zip Code

Place of Employment

Job Title

Phone Number

Married? If yes, how long?

Live in partner? If yes, how long?

Do you have children? Do you have children? Yes No

How many children and their ages?

Email Address

Why have you decided to buy a Great Dane?

What breeds of dogs have you owned in the past?

Do you currently own any pets? Do you currently own any pets? Yes No

Please list any pets you currently own, their ages and their breed

If YES, what types of pets, their ages and temperament?

If you have pets, are they spayed or neutered?

Have you ever had to put a pet down (euthanized)? Have you ever had to put a pet down (euthanized)? Yes No

Please explain the reasons

Do you have a Gender preference? Do you have a Gender preference? Yes No

Please explain why you have a gender preference

If the preferred sex is not available, would you consider the other? If the preferred sex is not available, would you consider the other? Yes No

5. Are you looking for a young puppy or an older dog? 5. Are you looking for a young puppy or an older dog? Puppy Older Dog No Preference

Please tell us about yourself & your family

How much do you expect to pay for a puppy?

When are you looking to purchase a puppy?

What Color Great Dane are you looking for?

Have you familiarized yourself with? Have you familiarized yourself with? The care requirements of a Great Dane? The grooming requirements of a Great Dane? The nutritional requirements of a Great Dane? The attention and love that is required by a Great Dane?

What problems (health, training, behavior, etc.) have you had with previous dogs?

Are you willing to follow the health guidelines supplied by Carousel Danes? Regarding shots, exercise, feeding, etc …? Are you willing to follow the health guidelines supplied by Carousel Danes? Regarding shots, exercise, feeding, etc …? Yes No

If no or “depends,” please explain

Are all the members of your family in agreement/committed on getting a Great Dane puppy? Are all the members of your family in agreement/committed on getting a Great Dane puppy? Yes No Don't Know

If no or “depends,” please explain

Do any members of your family have any types of allergies to dogs? Do any members of your family have any types of allergies to dogs? Yes No

Do you live in a (single family house, apartment, condo, etc)? Do you live in a (single family house, apartment, condo, etc)? Yes No

If you rent, have you checked with your landlord about getting a Great Dane and will you be able to provide proof of authorization?

Is your yard completely fenced in with a secure fencing? Is your yard completely fenced in with a secure fencing? Yes No

How will you be housing your Great Dane?

Will a member of the family be home throughout the day? Will a member of the family be home throughout the day? Yes No

Where would the puppy or dog primarily spend its time?

Where would the puppy/dog be housed during the day if no one is home (i.e.,loose in the house, crated, kennel, yard, confined to a specific room)?

How many hours per day will this puppy/dog be left alone?

Where will the puppy/dog sleep at night (i.e. loose in the house, crated, kennel, yard, confined to a specific room)?

Have you thought about how you will housebreak your new puppy? Have you thought about how you will housebreak your new puppy? Yes No

Will you be willing to go to obedience classes? Will you be willing to go to obedience classes? Yes No

How are you planning to train your new puppy?

Do you have a veterinarian? Do you have a veterinarian? Yes No

May we contact your veterinarian for a reference? Please provide name and phone number.

If this puppy is purchased as a family companion and is not going to be bred, do you agree to have it spayed or neutered not prior to 1 year of age and no later than 1 ½ years of age and submit to Breeder a veterinarian certificate as proof of surgery for our records? If this puppy is purchased as a family companion and is not going to be bred, do you agree to have it spayed or neutered not prior to 1 year of age and no later than 1 ½ years of age and submit to Breeder a veterinarian certificate as proof of surgery for our records? Yes No

How do you plan to get the puppy/dog to you? (i.e., pick-up, ship, etc.)

Are you willing to stay in regular contact with Carousel Danes for the life of the dog and provide updates? Are you willing to stay in regular contact with Carousel Danes for the life of the dog and provide updates? Yes No

Please list two other references (obedience trainer, other breeder or person who can verify the suitability of your home for a puppy/dog.)

How did you hear about us; our dogs? Who referred you to us?

Briefly explain “how” you resolve conflict; a difference of opinion?

Are You a Showhome? Are You a Showhome? Yes No

If for breeding, are you aware that the puppy will be sold on a Non-Breeding Agreement and Co-ownership pending fulfillment of the criteria as set forth our Sales Contract?

Have you completed any CKC or/and AKC titles on other dogs? If so, please describe:

Have you ever bred a dog/dogs before? Have you ever bred a dog/dogs before? Yes No

Please elaborate on your breeding experience

If you have bought other show or companion puppies, please list from whom they were purchased

If this is a show puppy, will you be showing yourself or hiring someone to show?

PLEASE include any additional information which you feel may better help us decide the suitability of your home and family for the purchase of one of OUR GREAT DANES?