VON DEN BROOKFIELDS
GERMAN SHEPHERDS
Puppy Placement Questionnaire
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_________________________________________________________
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If you have any pets, please let us know what kind, ages, m/f, spayed or neutered? ________________________________________________________________________________________________
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What are the roles you would like your GSD to fulfill?
________________family guardian__________________exercise buddy______________home protector
________________companion _____________________other, please explain_________________________________
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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.____________________________________________________________
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How did you hear of us?____________________________________________________________________________
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Is there anything you would like us to know that has not been covered in this questionnaire? _______________________________________________________________________________________________
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