Questionnaire...
All potential buyers
interested in purchasing a Great Dane from our
kennel MUST complete the following
questionnaire as the first step in being considered
for one of our puppies.
Thank you for your
interest in acquiring a Great Dane Puppy from ValTer
Danes. Please take a few minutes to fill out the
following form to help us be assured that our puppy
is going to a good home.
Click
here for the printable version of this
form (Word doc.) and email
to: ValTer Danes, at
Valerie@valterdanes.com. Thank-you!
Name:________________________________________________
Address:______________________________________________
City: _______________ State: __________
Zip: ____________
Phone Number: ____________
Email:_______________________
1. How did you hear about us?
a. Website
b. Referral, if yes who?
_________________________
c. other:
_____________________________________
2. Why have you decided to buy a Great
Dane?
_______________________________________________________
_______________________________________________________
3. a. Do you
currently own any other pets (yes/no)?_________
b. If yes, what types, ages and
temperament?
_______________________________________________________
_______________________________________________________
c. Are they spayed or
neutered?_________________
4. Do you have a gender preference
(male/female/no)? _________
5. What are the main reasons for
purchasing a Great Dane?
__Family Companion __Show Dog
__Breeding Prospects
__Obedience Competition __Pet Therapy
6. Have you ever owned a Great Dane?
Yes____ No_____
7. Have you ever returned a Great Dane?
a. If yes, what was the breeder’s
name?
___________________________________________
b. If yes, why was it returned?
___________________________________________
8. Do any members of your family have
any types of allergies to dogs? Yes____ No_____
9. PLEASE DESCRIBE YOUR FAMILY...
a. Number and ages of children in
your household:
___________________________________________
___________________________________________
b. Do you live in a ____ house
____ apartment _______ other?
10. If you rent have you checked with
your landlord about getting a large breed? ____Yes
____No
a. Will you be able to provide proof
of authorization?
___ Yes ___ No
11. Is your yard completely fenced with
secure fencing?
____ Yes ____
No
12. If not, would you be willing to do
so before bringing home a new puppy or build a secure
run for the puppy to be in when not being safely
supervised for its safety? ____Yes ____No
13. How will you be housing your Great
Dane?
____________________________________________________
14. Where would the puppy be housed
during the day if no one is home (i.e., loose in the
house, crated, kennel, yard, confined to a specific
room)?
_____________________________________________________
15. Where will the puppy sleep at night
(i.e. loose in the house, crated, kennel, yard, confined
to a room)?
_____________________________________________________
16. Do you have a veterinarian?
____Yes ____No
17. May we contact your veterinarian for
a reference? Please provide name and telephone number.
_____Yes _____No
______________________________________________________
18. When this puppy is purchased as a
family companion and is not going to be bred, do you
agree to have it spayed or neutered and submit to
Breeder a veterinarian certificate as proof of surgery
for their records? ___Yes ____No
19. How do you plan to get the puppy to
you? (i.e. pick up, ship, etc.)
_________________________________________________
Please include any additional
information which you feel may better help us to decide
the suitability of you home and family for the adoption
of one of our Great Danes.
______________________________________________________
______________________________________________________
______________________________________________________
Signature: ________________________
Date: ___________________________
**For the Casual
buyer - Do not purchase a ValTer puppy if you do not
understand the concept of a legally binding contract.
Any action that breaches the contract or hurts our
puppies and/or dogs, we will seek damages, as well as
the return of our puppy or dog. All puppies are
Micro-Chipped in our name, not the owner. If one of our
Danes is ever found in a rescue, shelter, or
veterinarian clinic, we will be contacted. Our dogs can
not be traded, re-sold or given away without our
consent. We believe in the betterment of the breed but
we are dedicated to our puppies for the duration of
their life and we will seek their return to our home.**
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