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All potential buyers interested in purchasing a Great Dane from our kennel MUST complete the following questionnaire as the first step in being considered for one of our puppies. Thank you for your interest in acquiring a Great Dane Puppy from Asbury Danes. Please take a few minutes to fill out the following form to help us be assured that our puppy is going to a good home. Please mail to: Asbury Danes, 528 Fells Ct, Green Cove Springs, Fl 32043 Name:___________________________________________________________________ Address:_________________________________________________________________ City:______________________________ State:_______________ Zip:_____________ Phone Number:___________________ Email____________________________________ 1. Why have you decided to buy a Great Dane? ________________________________________________________________________ ________________________________________________________________________ 2. What Breeds of Dogs have you owned in the past? ________________________________________________________________________ 3. a. Do you currently own any other pets (yes/no)?__________ b. If yes, please let us know if you still have then and if not, why not?
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c. If yes, what types, ages and temperament?
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d. Are they spayed or neutered?__________________
4. a. Have you ever had to put a pet down (euphonized) ?_______________________
b. If yes, please explain the reason:_______________________________________
5. Do you have a gender preference?_________________________
If you have a preference, please specify which type and why:
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6. If the preferred sex is not available, would you consider the other? ______________
7. Are you looking for a young puppy or and older dog?___________________________
8. What are the main reasons for purchasing a Great Dane?
__Family Companion __Show Dog __Breeding Prospects
__Obedience Competition __Pet Therapy
9. 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 out in our Agreement of Sale Contract?
___Yes ___No.
10. How much do you expect to pay for a puppy? $___________
11. When are you looking to purchase a puppy?______________________________
12. What color Great Dane are you looking for?______________________________
13. Have you familiarized yourself with:
a. The care requirements of a Great Dane _____Yes _____No
b. The grooming requirements of a Great Dane ____Yes ____No
c. The nutrition requirements of a Great Dane ____Yes ____No
d. The attention and love that is required by a Great Dane ____Yes ____No
14. What problems (health, training, behavior, etc,) have you had with previous dogs?
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15. Are you willing to follow the health guidelines supplied by ASBURY Danes regarding shots, exercise, feeding, etc...?If NO or Depends, please explain:
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16. Are all members of your family in agreement /committed on getting a puppy?
____Yes ____No.
17. Do any members of your family have any types of allergies to dogs? ____Yes ____No.
18. PLEASE DESCRIBE YOUR FAMILY...
a. Number and ages of children in your household_________________
b. Do you live in a __________house __________apartment __________other
19. If you rent have you checked with your landlord about getting a large breed?
____Yes ___No.
a. Will you be able to provide proof of authorization? ____Yes ____No.
20. Is your yard completely fenced with secure fencing? ____Yes ____No.
21. If not, would you be willing to do so before bringing home a new puppy or build a secure run for the puppy to be in when not being safely supervised for its safety? ____Yes ____No
22. Do you have a swimming pool? ___Yes ___No. Is it fenced? ___Yes ___No.
23. How will you be housing your Great Dane?_______________________________________
24, Is a member of the family home through the day ____Yes ___No.
25. Where would the puppy primarily spend its time? _________________________________ _____________________________________________________________________________
26. Where would the puppy be housed during the day if no one is home (i.e., loose in the house, crated, kennel, yard, confined to a specific room)?_____________________________
27. How many hours per day will this puppy be left alone? __ 1 - 3 __ 3 - 6 __ 6 - 9 __ 9 +
28. Where will the puppy sleep at night (i.e. loose in the house, crated, kennel, yard, confined to a room)?___________________________________________________________________
29. Have you thought about how you will housebreak you new puppy?__________________
30. Will you be willing to go to obedience classes? ____Yes ____No
a. If no, how are you planning to train your new puppy__________________________ _____________________________________________________________________________
31. Have you completed any CKC or/and AKC titles on other dogs? If so please describe.
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32. Do you have a veterinarian? ____Yes ____No.
33. May we contact your veterinarian for a reference? Please provide name and telephone number. _____Yes _____No.
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34. When 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 1/2 year of age and submit to Breeder a veterinarian certificate as proof of surgery for her records?
___Yes ____No.
35. Have you ever bred a dog/dogs before? ____Yes ____No.
a. If yes, please elaborate:__________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
36. Please list two other references (obedience trainer, other breeder, or other person who can verify the suitability of your home for a puppy)_______________________________________
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37. If you have bought other show or companion puppies, please list from whom they were purchased._____________________________________________________________________
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38. If this is a show pup will you be showing yourself or hiring someone to show for you?
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39. Are you willing to stay in regular contact with ASBURY Danes for the life of the dog and provide updates? ____Yes ____No.
40. How do you plan to get the puppy to you? (i.e. pick up, ship, etc)__________________
41. How did you hear about our kennel?___________________________________________
Please include any additional information which you feel may better help us to decide the suitability of you home and family for the adoption of one of our Great Danes.
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Signature____________________________________ Date:___________________________ |