1. Why do you want a Doberman? 

2 . Have you ever owned a Doberman?  Yes  No

3. If "yes," when? What happened to him/her?

4. Who is this Doberman for? 

5. a. If single, what is your age? 
    b. Do you  live alone,  with family,  with roommates?

6. a. If married, do you both work?  Yes  No
    b. What are husband/wife work hours? 

7. a. Who else lives in your home? 
    b. Ages of children 

8. a. If you have children, are you prepared to teach them the proper way to interact with the Doberman?  select one Yes  No
    b. Do you understand that the dog might not like all of your children's friends?  select one Yes  No

9. Who will be responsible for the Doberman? 

10. Where will the dog sleep? 

11. a. Do you  rent  own a  select one house  condo  apartment?
      b. If you rent, please provide your landlord's name and phone number

12. Do you have a regular yard?  acreage?

13. Do you intend to keep the dog primarily indoors or out? Please explain. 

14. a. Is the yard fenced?  select one Yes  No
      b.If yes, describe the height, type, and condition of the fencing. 

15. Are you aware of any distraction outside your yard that could plague the dog? (e.g. neighbor's dog, loose dogs on the street, mischievious children)

16. a. Do you have other pets?  select one Yes  No b. If yes, what kind/how many? 

17. If you have other dogs, would you consider them  select one aggressive submissive to other people?  select one aggressive submissive to other animals?

18. If you have birds, rabbits, sheep, etc., are they well protected from a dog?  select one Yes  No

19. a. Have you discussed the pros and cons of owning a Doberman with your family?  select one Yes  No
      b. What do you think are the pros? 
      c What do you think are the cons? 

20. Does everyone in your family want a dog?  select one Yes  No

21. What other breeds have you considered? 

22. Can friends, relatives and/or children gain admittance to your home or property without your supervision? select one Yes  No

23. a. Have you ever given away a pet?  select one Yes  No
      b. If yes, what were the circumstances?

24. Who is your veterinarian? How may we contact your vet for a reference?

25. Do you realize a dog may live 12-14 years, and you are committed to its care during its life?  select one Yes  No

26. Are you likely to enroll your dog in obedience training?  select one Yes No

27. Are you willing to attend these classes and complete the course?  select one Yes No

28. Which family members will assist in home training? 

29. What kind of work or behaviors do you expect of this dog?  

30. What would be your response if the dog made a mistake? What is your method of disciplining a dog?

31. Are you willing to take the time to make the acquisition of this dog successful by reading and learning all the facts of temperament, socialization, proper handling; and do you understand the time required to bring out the full potential of this breed?   select one Yes No

32. Would you allow us to visit your home?  select one Yes  No

33. Are you select one looking for a dog immediately willing to wait for the right dog

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