Client Questionnaire Just complete this form and click on the "Submit" button when you are ready to send the information. Name: Email Address: Street Address 1: Street Address 2: City: State: Zip Code: Phone (home): Phone (work): Phone (cell): Fax: Good time to call if we need to reach you: How did you hear about Von Warterr Rottweiler? Internet Search Engine Dogs USA Magazine Picture Ad Puppies USA Magazine Picture Ad Dog Fancy Magazine Classified Ad Dog World Magazine Classified Ad Referral from Previous Client Other (please list source): What age dog are you interested in obtaining? Puppy Young adult Mature adult What sex dog are you interested in obtaining? Male Female Either List any conformation and/or working titles that your dogs have earned in the past. What activities will you and your dog be involved in? (check all that apply) Companion/Pet Show Obedience Schutzhund Breeding Agility Herding Carting Weight-pulling Tracking Guarding Have you ever owned a Rottweiler? Yes No If you answered "Yes" to the above question how long have you owned your Rottweiler(s)? Where will the dog live? Tell us about yourself. Include occupation, family status, hobbies, etc... Describe your idea of the "IDEAL" Rottweiler for you. Is there any quality you don't want in your dog? Do you presently belong to any dog clubs? If so, list them. (If you belong to more then 8 then list the rest of them in the last box and separate the clubs using a comma and space) Do you have any children living in your home? If so, list their ages: Child One: Child Two: Child Three: Child Four: Child Five: Child Six: Child Seven: Child Eight: Do you currently have any pets? If so, please the type of pets you have including their age and sex. (If you have more then 6 pets then list the rest of them in the last box and separate them using a comma and space) Have you completely and thoroughly read and are you willing to comply with our Sales Policy and Contracts? Yes No All show/breeding prospects must be two years of age and have an OFA number before breeding is allowed. Are you willing to do prelim x-rays at 12 months and offical OFA x-rays at 24 months? Yes No Your Age: Where will the dog stay during the day? Where will the dog stay during the night? What type of area do you live in? Urban Suburban Rural Do you own or rent? Own Rent Do you live in a house or apartment? House Apartment Trailer Will the dog live indoor or outdoor? Indoor Outdoor Do you have a fenced in yard? Yes No Have you checked into any breed/training clubs in your area? Yes No From which of our female(s) are you interested in obtaining a puppy? Have we spoken on the telephone? If so, what were the details of our conversation? Please give us any additional information that might help us make our decision. If you can see the box below, do not put anything in it or the form will not be sent! Von Warterr reserves the right to turn down any home not deemed suitable for our puppies. We would like to thank you for taking a moment to fill out this questionnaire. Be Patient after clicking the submit button. This is a large form a may take some time to be sent.
Client Questionnaire
Just complete this form and click on the "Submit" button when you are ready to send the information.
Name: Email Address: Street Address 1: Street Address 2: City: State: Zip Code: Phone (home): Phone (work): Phone (cell):
Fax: Good time to call if we need to reach you: How did you hear about Von Warterr Rottweiler?
Internet Search Engine Dogs USA Magazine Picture Ad Puppies USA Magazine Picture Ad Dog Fancy Magazine Classified Ad Dog World Magazine Classified Ad Referral from Previous Client Other (please list source): What age dog are you interested in obtaining? Puppy Young adult Mature adult
What sex dog are you interested in obtaining? Male Female Either
List any conformation and/or working titles that your dogs have earned in the past.
What activities will you and your dog be involved in? (check all that apply) Companion/Pet Show Obedience Schutzhund Breeding Agility Herding Carting Weight-pulling Tracking Guarding
Have you ever owned a Rottweiler? Yes No
If you answered "Yes" to the above question how long have you owned your Rottweiler(s)?
Where will the dog live?
Tell us about yourself. Include occupation, family status, hobbies, etc...
Describe your idea of the "IDEAL" Rottweiler for you. Is there any quality you don't want in your dog?
Do you presently belong to any dog clubs? If so, list them. (If you belong to more then 8 then list the rest of them in the last box and separate the clubs using a comma and space)
Do you have any children living in your home? If so, list their ages: Child One: Child Two: Child Three: Child Four: Child Five: Child Six: Child Seven: Child Eight:
Do you currently have any pets? If so, please the type of pets you have including their age and sex. (If you have more then 6 pets then list the rest of them in the last box and separate them using a comma and space)
Have you completely and thoroughly read and are you willing to comply with our Sales Policy and Contracts? Yes No
All show/breeding prospects must be two years of age and have an OFA number before breeding is allowed. Are you willing to do prelim x-rays at 12 months and offical OFA x-rays at 24 months? Yes No
Your Age:
Where will the dog stay during the day? Where will the dog stay during the night?
What type of area do you live in? Urban Suburban Rural
Do you own or rent? Own Rent
Do you live in a house or apartment? House Apartment Trailer
Will the dog live indoor or outdoor? Indoor Outdoor
Do you have a fenced in yard? Yes No
Have you checked into any breed/training clubs in your area? Yes No
From which of our female(s) are you interested in obtaining a puppy?
Have we spoken on the telephone? If so, what were the details of our conversation?
Please give us any additional information that might help us make our decision.
If you can see the box below, do not put anything in it or the form will not be sent!
Von Warterr reserves the right to turn down any home not deemed suitable for our puppies. We would like to thank you for taking a moment to fill out this questionnaire.
Be Patient after clicking the submit button. This is a large form a may take some time to be sent.
