Puppy Questionnaire

							                     Puppy Questionnaire
                       Shakira Kennels
                              John & Teri Williams
                                 16927 CR 831
                             Pearland, Texas 77584
                         832.731.8902 fax 281.489.9140

Thank you for your interest in our dogs. We feel taking the time to get to know
everyone that is going to receive a puppy from us is very important, because our
puppy homes are now a part of our extended family. We are committed to the
dogs we breed for LIFE! This is only to help us get to know you, your family, and
what you are looking for in a puppy/dog. They are questions we would ask over
time this just helps us know what you expecting in a Dane and from a breeder in
one fell swoop! Just take your time, answer to the best of your ability and really
think about what you want from your future puppy and a breeder in general.
We look forward to hearing from you!
John & Teri Williams

Puppies are placed according to temperament and the lifestyle of the
family – not necessarily by the color or markings .I evaluate all my pups at
8 weeks and then make a determination of placement – based on
temperament and conformation. In order to get to know you, your family
and what you are looking for not only in a Great Dane but a breeder as
well, I have found the application process a wonderful tool to make that
process easier. Please answer the following questions as completely as you
can.
Thank you.

Name:
Address:
City
State
Zip
Phone
E-mail:
Referred by:
Why do you want a Great Dane?
Name and City and State of Airport you would ship into:
Are you willing to travel to pick up dog: How far:
How soon do you want a puppy?
What reference materials have you read?
What color would be your first choice and what would be your second?
Are you interested in a male or female puppy?
At what age would you like to get the puppy?
Have you considered an older dog instead of a puppy?
Type of dwelling: house__ condo__ apartment__ mobile home__
Do you have a fenced yard? Yes___No___
Please attach a picture of your yard.
If renting - does the rental contract allow large dogs?
Please give name and contact phone number of your landlord:
___________________________________________________________
How long have you lived at this address?
Name, address and phone number of your veterinarian:
Who will be the primary care giver?
Is anyone home during the day?
If yes who?
Will there be someone available to feed and exercise the puppy during the
day?
How many hours a day will the puppy are kept outside?
When your family is on vacation who will care for the dog?
What kind of floor surfaces will the dog be on in the house?
Are you willing to permit home-check?
Do you have any children? If yes, what are their ages?
Does anyone in your household have allergies to animals?
If yes, to what and how severe?
Have you ever owned a dog before?
If yes, what breed?
What was the end result of prior dog(s)
Ran away __ Stolen __Sold ___ Passed away __Illness __
Please briefly explain:_______________________________
__________________________________________________
If you have previously owned a Great Dane, where was it purchased from?
Breeder or Kennel Name?
Do you have any other animals now?
If yes, what kind?
Proper, balanced nutrition is important to any dog, and with giant breeds
there are
critical growing periods where the nutritional needs of the puppy must be
met if it is to
reach its full potential. What type of diet are you planning on feeding? Are
you willing
to follow our own instructions for feeding your puppy? Our contract
hinges upon this
agreement.
Do you know anything about keeping dishes up off of the floor?
What supplements or vitamins?
Do you know any thing about bloat?
Have you considered pet insurance?
Are you aware of the yearly costs of maintaining a healthy dog? Yearly
vaccines can
be $40-$60. Then there is heart worm preventative (daily or monthly), flea
control (pet
& premises), dental care, food, accessories, as well as many other
unforeseen
items/circumstances (such as an accident or illness). Are you prepared to
meet these
requirements? Here is a series of important questions. Answering all
carefully will help
in selecting right dog for you
Do you understand that you will be asked follow a proper vaccination
protocol
recommended by the breeder and agreed upon with your vet?
What do you expect the activity level of a Great Dane to be?
Leash walks: Frequent___Occasional_____None__
Is there any aspect of your home a puppy could affect (white carpet,
antiques, etc.)
What is YOUR level of activity?
What are your hobbies?
Have you ever housetrained a dog before?
Are you willing to crate your new Dane?
If you owned any dogs in the past, what did you like best about him/her?
What did you like the least?
Why do you want a dog?
____ Protection ___Friendship ___ Hunter ____ Child's friend
___Appearance
____Breeding animal ______ Show prospect ____ Training prospect
What aspect of a dog is most important to you?
__Appearance __Agility ___ Easy care coat __Quiet companion____
____Game player __Quick obedience ___Friendly attitude ___Adaptability
What would your ideal dog look like? Are there some physical features
you're
especially looking for, or especially don't like in a dog?
What doggie traits turn you off? ____________
___ Drooling ___ Odor ___ Jumping ___Inappropriate Chewing
___ Shedding___ Digging ____Excessive Barking
Are you willing to take your dog to obedience training?
Activity Indoors: Some dogs are lively and curious in the house, they
like to play with you and follow you around. Some dogs lie down most of
the
time. Do you think an active dog would annoy you?
___________________
Children: A child should not be placed beyond its level of competence
and reliability with any pet. How much responsibility will your child be
given in the
care and management of the dog? How much adult supervision of dog and
child will
be provided?
_____ Maximum _____ Some___ Minimal _____ None
With neighborhood children:
____ Maximum _____ Some _____ Minimal _____ None
If no children reside with you, how often will your dog come in contact
with children?
_____ Often ________Occasionally ____ Never
Leadership: Breeds vary in how much leadership they require. Some dogs
are natural leaders, they're bold or stubborn, they'll take advantage of any
mistakes you make or any indulgence, and you really have to work hard to
convince them that you're the boss. Would you feel comfortable in the
"leader" role, if
need be?___________________________________________________
With Visitors: How would you like your dog to behave? Do you want him
to be friendly or aloof? Some breeds are not very outgoing and they prefer
to come over to people gradually or sometimes not at all. Would you be
embarrassed if he refused to come over to someone who wanted to pet
him?
Temperament desired:
Natural leader: ___ Follower: __Friendly:___ Aloof: ____
Outgoing: ____Activity level: High ____ Moderate ____Low ____
If you could call up and order a dog from a catalog, what would you say:
"I'm looking for a dog that is
__________________________________??”
How would you encourage, reinforce your dog's appropriate ("good")
behavior
How would you prevent, manage your dog's inappropriate ("not so good")
ill-timed behaviors?
Do you have any further comments about why you want a Great Dane or
what type of
specific traits you want that has not been covered?
Are all members of your household aware that you are acquiring a dog?
Do they all approve?
Are all willing to be somewhat involved in the care and raising of this dog?
Are you interested in showing the dog in the conformation ring?
Are you planning to have this puppy's ears cropped?
Are you planning to have the breeder handle the crop or are you to handle
it after the
puppy arrives?
Do you understand that there is ALWAYS risk when putting a puppy
under anesthesia
and that the breeder and the vet cannot be held responsible if anything
should happen
to your puppy?
Do you understand that this puppy is being sold on a limited registration
and cannot
be bred, unless other contracts are agreed upon with Shakira Kennel/Teri
Williamss?
Do you agree that this puppy will be spayed or neutered after it is
12months old if it is
on a limited registration?
Will you agree to have your puppy’s hips x-rayed and certified by OFA or
Penn Hip
when spayed/neutered or at 2yrs & share the results with me?
Do you understand the difference between a non breeding or Limited
registration and
a full registration?
Do you understand that if you place a deposit on a puppy it is non-
refundable?
Veterinarian (name & number):
Trainer (if any):
Personal reference:
1.
2.
Do you understand that if for any reason you need to find a home for this
puppy that it
must to be returned to Shakira Kennels/Teri Williams at your expense and
we will be
responsible for re-homing?
Do you understand and agree that if I am notified that this dog has been
sold or rehomed
you will face a penalty of 1000.00 and the dog will be returned to Shakira
Kennel/Teri Williamss or an authorized agent and no money shall be
returned to you
or anyone else involved? In the event of the death of the owner the puppy
will be
returned to Shakira Kennels/Teri Williams unless otherwise provided for
in a legal and
binding Last Testament and Will.
Do you understand that if any part of this questionnaire is not answered
truthfully,
Shakira Kennels will void all agreements on this dog?
Do you agree to all of our terms in the placement of this puppy?
And last but not least, do you promise to send pictures and keep in contact
and spoil
this puppy rotten??
Printed Name/date
Signature