CRM Dane Questionnaire
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Questionnaire

 

This Form is provided in order to get to know you better.  We strive to ensure our puppies are placed in permanent homes with families who will provide the best conditions for their personalities.  Please feel free to include any questions you
have for me at the foot of this form, then simply click on the submit button. 
I will get back to you soon.  Thank you.
 

Circle RM Danes Privacy Notice

  1. Please provide the following contact information:

    Name

    Title

    Organization

    Street Address

    Address (cont.)

    City

    State/Province

    Zip/Postal Code

    Country

    Cell Phone

    Home Phone

    FAX

    E-mail

    URL

  2. Are you Military?

    Yes
    No
     

  3. Select any of the following options that apply: A specific sex, color and gender must be decided on before placing a deposit.
    You are looking for......

    Puppy
    Adult
    Rescue
    Male
    Female
    Blue
    Black
    Fawn

  4. Select any of the following options that apply:
    This dog will be.....

    Guardian
    Work dog
    Child's Friend
    Companion
    Breeding Dog
    Obedience Trail Show Dog
    Confirmation Show Dog

  5. Choose one of the following options:
    Method of delivery...

    Air Ship
    Road Delivery ($50.00/100 miles both directions)
    Picked-Up

  6. If Air Shipped, which airport (list state & city also) do you desire?



  7. Do you currently own a dog? If so: what is the dogs breed, sex and age? Is this dog spayed or neutered?


     

  8. Have you ever owned a Great Dane? If so, what happened to it? 
    If not what made you decide to get one?

     

  9. Are you aware of the possible health problems this breed may present?



  10. What do you expect the activity level of the Great Dane to be? Low, med., or high?



  11. What is your level of activity? Low, med., or high ?



  12. What will you do with your dog when away from home for extended periods?



  13. What type of dwelling do you live in?



  14. Do you have a fenced yard?

    Yes
    No

  15. Do you have a pool?

    Yes
    No
     

  16. Do you plan to crate train?  If so have you ever crate trained a dog before? 



     

  17. How many hours will the pup be alone during the day?



  18. Where will the pup sleep at night?



  19. Are all members of your family aware you are acquiring a dog and do they all approve? 

      Yes
    No

  20. Do you have children? if so, what are their ages and how much responsibility
     in the care and management of the pup will they have?



  21. Who will be the primary caretaker and trainer for the pup?



  22. If you have a live-in partner or spouse, is there an understanding of who this pup will ultimately belong to in case of separation? Please state who.  This is the name that will be on the AKC Registration application.



  23. If no children how often will your pup come in contact with children?



  24. Are you willing to permit an in-home inspection if requested?



  25. What is your occupation and work hours?

     

  26. Do you have the financial means (please see "fact page" of web
    site for cost info.) to care for this pup?

    Yes
    No

  27. Please provide two personal references ( include cell and email
    address) and one Vet ref. when possible.



  28. Will you contact us if you need to find a home for this pup for any reason?



  29. How did you hear about Circle RM Danes? If by internet, which website?



  30. Do you agree to contact us before making any major decisions regarding
     health issues of your pup during the first two years?

    Yes
    No


    31.  Will you submit an annual health survey and picture of your pup?
    This helps our breeding program.

    Yes
    No

     

    32. Do you have any questions for me?




 

HOME BLACKS BLUES FACTS FAWNS GUARANTEES
METHOD PREVIOUS LITTERS PRICES SALES - ADULTS SALES - PUPS SHIPPING
ABOUT LINKS CONTACT      

  P.O. BX. 1461, Medina, Texas, 78055  
  Phone: 830-589-2426 - Fax: 830.589.2787
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