Questionnaire for the Acquisition of a Great Dane Puppy

First Name

Surname

Address

City

Province/State

Country

Postal/Zip Code

Phone

Cell

Email Address

1. Why did you decide on a Great Dane?

2. A) Do you currently have other pets? If yes, please specify. (If not, please go to question 3)

2. B) How old are they?

2. C) Please describe their temperaments.

2. D) Are they spayed/Neutered?

3. If you previously had a dog(s), what did he/she die of?

4. A) What is your preference? 4. A) What is your preference? Male Female No Preference

4. B) What colour would you prefer?

5. Choose from the following as your main reason for purchasing a puppy: 5. Choose from the following as your main reason for purchasing a puppy: Family Companion Breeding Prospect Conformation Showing Obedience Competitions Agility Other

5. A) If other, please specify.

6. A) Do you want a puppy with cropped ears? 6. A) Do you want a puppy with cropped ears? Yes No

6. B) Are you familiar with cropped ear care and taping to help the ears stand erect? 6. B) Are you familiar with cropped ear care and taping to help the ears stand erect? Yes No

7. Are you familiar with the care, socialization, basic obedience, and the proper nutrition required for a Great Dane as well as the costs involved (approx. $150./month)? 7. Are you familiar with the care, socialization, basic obedience, and the proper nutrition required for a Great Dane as well as the costs involved (approx. $150./month)? Yes No

8. Are you familiar with a raw diet (B.A.R.F. - Bones and Raw Food)? Your puppy will have been fed this type of diet. 8. Are you familiar with a raw diet (B.A.R.F. - Bones and Raw Food)? Your puppy will have been fed this type of diet. Yes No

8. A) If not, are you willing to learn about this feeding method and continue to feed your puppy/dog with this food? (We are manufacturers of raw food and details can be found at www.5stars2011.com) 8. A) If not, are you willing to learn about this feeding method and continue to feed your puppy/dog with this food? (We are manufacturers of raw food and details can be found at www.5stars2011.com) Yes No

9. Are you aware of the physical size of an adult Great Dane? 9. Are you aware of the physical size of an adult Great Dane? Yes No

10. Do you have children at home? If yes, how many and what age(s)?

11. Do you own your house or are you renting? If you are renting, is your landlord aware of your intention of acquiring a Great Dane?

12. Will your Great Dane have a fenced and secured area where he/she can excercise? 12. Will your Great Dane have a fenced and secured area where he/she can excercise? Yes No

13. A) Where will your Great Dane sleep?

13. B) Where will your Great Dane stay during the day?

13. C) How many hours during the day will your dog be alone at home?

14. Will you be using a crate to house train your dog? 14. Will you be using a crate to house train your dog? Yes No

15. Are you willing to take obedience classes with your new puppy? 15. Are you willing to take obedience classes with your new puppy? Yes No

16. Have you ever completed a CKC or AKC title with other dogs? 16. Have you ever completed a CKC or AKC title with other dogs? Yes No

16. A) If yes, which ones?

17. Are all your family members in agreement with the acquisition of a Great Dane? 17. Are all your family members in agreement with the acquisition of a Great Dane? Yes No

18. Do you have or did you do research for a veterinarian for your puppy? If yes, is he/she familiar with giant breeds?

18. A) Please provide your vet's contact information - Name, address, email and phone number.

19. Please provide one or two personal references including names, email addresses and phone numbers.

20. Please include any other details that you feel might help us in determining the right puppy for you and your family.

21. How did you hear about us?