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Puppy Placement Questionnaire

Click below to Print Form:

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Bev Mitchell

320 Gilbertville Rd.

New Braintree, MA. 01531

Name:___________________________________________________________________________________________

Do you presently or have you in the past owned a German Shepherd?

_____yes_____no

Please tell us a little about your family members_________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

If you have any pets, please let us know what kind, ages, m/f, spayed or neutered? ________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

What are the roles you would like your GSD to fulfill?

________________family guardian__________________exercise buddy______________home protector

________________companion _____________________other, please explain_________________________________

________________________________________________________________________________________________

Will you be participating in puppy obedience classes? _____yes_____no

If so, do you have a place or trainer in mind?____________________________________________________________

Are you planning on participating in any of the following events?

__________showing________shutzhund__________herding

__________agility _____herding __________breeding

_________obedience _____other_____________________________________________________________________

Are you planning to spay/neuter?_____yes_____no

Are you planning on crate training?_____yes_____no

Do you have a veterinarian or one you plan on using?_____yes_____no

If so, who?_______________________________________________________________________________________

Please briefly describe your home, yard, etc.____________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

How did you hear of us?____________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

Is there anything you would like us to know that has not been covered in this questionnaire? _______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

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