**All answers will remain confidential and for adoption purposes only**
In filling out the puppy questionnaire with as much accuracy as possible, this helps us get to know you better in order for a match to be a complete success!
First Name
Last Name
Email
ADDRESS:
PHONE NUMBER:
CELL NUMBER:
TYPE OF HOUSING
APARTMENT
CONDO
SINGLE FAMLY RESIDENCE
OTHER
DO YOU:
OWN YOUR HOME
RENT YOUR HOME
RENT-TO-OWN
OTHER: STAYING WITH FAMILY
DO YOU HAVE A FENCED YARD?
YES
NO
NOT YET, BUT WE ARE GETTING ONE
NO, BUT WE HAVE A DOG PLAY AREA
HOW MANY ADULTS RESIDE IN YOUR HOME?
1
2
3 OR MORE
HOW MANY MINOR CHILDREN RESIDE IN YOUR HOME?
0
1
2
3 +
HOW MANY CHILDREN ARE UNDER THE AGE OF 2 YEARS OLD?
ALL
NONE
1
2 OR MORE
ARE ALL THE ADULTS IN THE HOME IN AGREEMENT TO PURCHASE A PUPPY?
YES
WE'RE GETTING THERE
NO, BUT I TAKE FULL RESPONSIBILITY FOR THE CARE OF THE PUPPY.
WHO WILL BE THE PRIMARY CAREGIVER OF THIS PUPPY/DOG?
HOW WOULD YOU RATE YOUR ENERGY LEVEL AS FAR AS EXERCISE GOES?
LOW
LOW/AVERAGE
AVERAGE/HIGH
HIGH
WHAT TYPE OF ACTIVITES DO YOU AND/OR YOUR PARTNER LIKE TO DO IN YOUR SPARE TIME?
DOES ANYONE IN THE HOME HAVE ALLERGIES TO DOGS?
YES, SEVERE AND TREATED WITH ANTIHISTAMINES
YES, MILD
NO, NOT THAT WE KNOW OF
ARE ALL ADULTS IN AGREEMENT THAT THERE WILL BE DOG HAIR IN THE HOME DUE TO CONSTANT SHEDDING?
YES
NO
STILL CONSIDERING THIS AS A DECIDING FACTOR IN CHOOSING A PUPPY
HAVE YOU OR ANYONE IN THE PUPPY'S FUTURE HOUSEHOLD EVER BEEN ARRESTED, CHARGED OR CONVICTED FOR ANIMAL CRUELTY OR ANIMAL HOARDING OR EVER HAD ANIMALS SEIZED FROM YOUR POSSESSION OR A MEMEBER OF YOUR HOUSEHOLD?
YES, In filing this submission you agree that Elhart can request information pertaining to any charges.
NO
IF YES, PLEASE EXPLAIN BELOW:
PLEASE LIST A REFERENCE, THEIR PHONE NUMBER, YEARS YOU HAVE KNOWN THIS PERSON. NO RELATIVES PLEASE.
IS THIS YOUR FIRST DOG?
YES
NO
FIRST TIME AS AN ADULT
IS THIS YOUR FIRST TIME RAISING A PUPPY?
YES
NO
NO, BUT IT HAS BEEN A WHILE
DO YOU HAVE OTHER PETS IN THE HOME?
YES
NO
IF YES, PLEASE LIST ALL PETS, GENDER, AGE, AND IF THEY ARE INTACT OR NEUTERED/SPAYED. PLEASE NOTE HOW THESE PETS INTERACT WITH OTHER ANIMALS/SMALL DOGS/PUPPIES.
HAVE YOU EVER OWNED A GERMAN SHEPHERD OR LARGE BREED? PLEASE NOTE BELOW YES OR NO AND LIST THE BREEDS YOU HAVE OWNED/TRAINED IN THE PAST:
HAVE YOU COMPLETED ANY FORMAL TRAINING I.E. AGILITY, OBEDIENCE, TRACKING, ETC., WITH ANY OF THE OTHER DOGS YOU HAVE OWNED?
HAVE YOU EVER GIVEN UP AN ANIMAL TO A SHELTER/POUND OR GIVEN AN ANIMAL AWAY?
YES
NO
HAVE YOU EVER BRED A DOG OF ANY BREED? IF SO, PLEASE EXPLAIN TERMS OF THE BREEDINGS:
HAVE YOU PURCHASED A PUPPY IN THE LAST YEAR OR ARE CURRENTLY LOOKING FOR ANOTHER PUPPY IN ADDITION TO THIS POSSIBLE PUPPY FROM ELHART?
YES
NO
ARE YOU PLANNING ON PURCHASING ANOTHER PUPPY IN THE NEXT TWO YEARS?
YES
NO
DO YOU HAVE A VETERINARIAN?
YES
NO
NAME, ADDRESS, AND PHONE NUMBER OF YOUR VETERNARIAN:
WHY ARE YOU INTERESTED IN FINDING A NEW PUPPY?
WHAT DO YOU PLAN ON DOING WITH YOUR DOG? Other trials: Agility, Obedience, Fly Ball
Possible use for future breeding
Show ring competition
Certification as therapy dog
Certification as seeing eye dog
Tracking
WHERE WILL THE PUPPY SPEND MOST OF ITS TIME?
HOW WILL THE PUPPY BE TRAINED?
WE WILL PROBABLY TRAIN THE PUPPY OURSELVES
PROFESSIONAL TRAINER
PUPPY CLASSES
ARE YOU WILLING TO CRATE TRAIN YOUR PUPPY?
YES
NO
NOT SURE YET
I NEED MORE INFORMATION ON THIS...
WILL YOUR PUPPY BE AN INSIDE DOG OR OUTSIDE DOG?
MOSTLY INDOORS
A BIT OF BOTH
OUTDOORS WITH A KENNEL/RUN
OUTDOORS WITH ACCESS TO A HEATED BUILDING
HOW MANY HOURS WILL THE PUPPY BE LEFT ALONE (WITHOUT A POTTY BREAK) EACH DAY?
LESS THAN 4 HOURS
4 TO 9 HOURS
MORE THAN 12 HOURS
HOW MANY WALKS DO YOU PLAN ON DOING WITH YOUR PUPPY?
1 PER DAY
2 PER DAY
1 EVERY OTHER DAY
I PLAN TO USE THE DOG PARK TO EXERCISE MY DOG
DO YOU PLAN TO TEACH AGRESSION TRAINING TO YOUR PUPPY? I.E. ENCOURAGE BITING/GUARDING?
YES
NO
WILL PUPPY/DOG BE CHAINED?
YES
NO
WHERE WILL PUPPY STAY WHEN YOU ARE AWAY ON HOLIDAYS/WORK?
FAMILY WILL STAY AT MY HOME
TAKE ANIMALS/PUPPY TO FAMILY/FRIENDS
BOARDING KENNEL
IS THIS PUPPY BEING PURCHASED AS A SURPRISE OR GIFT FOR ANYONE?
YES
NO
DO YOU AGREE TO SPAY/NEUTER PUPPY BETWEEN 16 TO 24 MONTHS OF AGE IF NOT REQURESTING A PUPPY FOR BREEDING?
YES
NO
IF YOU DO NOT WANT TO SPAY OR NETUER, PLEASE PROVIDE THE EXPLINATION HERE:
OUT OF THE FOLLOWING OPTIONS, WHICH COLOR/COAT IS MOST IMPORTANT TO YOU? BLACK/TAN BLACK/RED SABLE BI COLOR BLACK LONG COAT BLACK LONG COAT BLACK/TAN LONG COAT BLACK/RED
GENDER PREFERENCE
MALE
FEMALE
WEIGHT
UNDER 70 LBS
70 LBS OR OVER
PLEASE CHOOSE THE FOLLOWING PREFERENCES FOR AGE OF PUPPY/DOG. NOTE ALL OPTIONS THAT WOULD APPLY TO YOU. Puppy up to 12 weeks of age
Puppy 3 months to 18 months of age
Adult 18 months to 5 years old
Adult 5 years old +
THE NEXT 5 QUESTIONS ARE IN REGARDS TO TEMPERAMENT/TRAINABILITY.
DOMINANCE (1 not showing dominance to other animals in the home, 4 very dominant towards other animals, wants to be alpha)
1
2
3
4
LOGICAL/PROBLEM SOLVERS (1 being very logical, 4 not so much)
1
2
3
4
ALOOF (All German Shepherds are somewhat aloof which means not forthcoming. 1 dog would approach readily, sniffing, 4 would be very aloof and ignoring strangers)
1
2
3
4
STABLE/NERVES (1 not fearful of anything, no reaction/no backing down AND 4 being reactive, may startle to strange objects/sounds, then recover)
1
2
3
4
TRAINABILITY/VERSITILITY (1 being very trainable, 4 a challenge and more stubborn)
1
2
3
4
PLEASE ADD ANY TRAITS OR TEMPERAMENT SPECIFICS YOU ARE LOOKING FOR IN YOUR PUPPY THAT ARE NOT LISTED. INCLUDE ANY SPECIFIC TRAINING THAT YOU ARE WANTING TO DO WITH YOUR PUPPY.
THIS LITTER WILL BE AVAILABLE TO GO HOME ON THE DATE SPECIFIED ON THE WEBSITE/SOCIAL MEDIA. WILL YOU BE ABLE TO TAKE THIS PUPPY HOME ON OR WITHIN 2-3 DAYS OF THIS DATE?
YES
NO, I WILL NEED TO MAKE OTHER ARRANGEMENTS
NO, I AM INTERESTED IN A FUTURE LITTER OR SPECIFIC PAIRING
IF YOU ARE WANTING A FUTURE LITTER, PLEASE NOTE THE TIME FRAME IN WHICH YOU ARE LOOKING FOR A PUPPY AS WELL AS ANY SPECIFIC PAIRING OF SIRE AND DAM YOU ARE INTERESTED IN. SOME OPTIONS FOR TIMELINE: - AS SOON AS POSSIBLE - WITHIN THE NEXT 6 MONTHS
WILL YOU BE ABLE TO PICK UP YOUR PUPPY IN PERSON IN BRANDON, MANITOBA OR DO YOU NEED HELP WITH TRANSPORTION? WE CAN FLY TO ANY MAJOR AIRPORT WITHIN CANADA AND INTERNATIONALLY. QUOTES ARE REQUIRED FOR PRICING. TO BE PAID BY THE BUYER.
YES, I CAN PICK UP IN PERSON AT ELHART
NO, I WILL NEED ASSISTANCE WITH TRANSPORTATION
WE TAKE OUR BREEDING PROGRAM VERY SERIOUSLY AND LOVE TO HEAR BACK FROM OUR FAMILIES IN REGARDS TO HOW YOU AND PUPPY ARE DOING. DO YOU AGREE TO PROVIDE UPDATES FROM TIME TO TIME FROM YOUR PUPPY/DOG?
YES, FOR SURE!
MAYBE
NO
DO YOU AGREE TO RETURN PUPPY/DOG BACK TO ELHART IF YOU ARE UNABLE TO CARE FOR PUPPY/DOG WITHIN ANY TIME OF ITS LIFE?
YES
NO
I HAVE MORE QUESTIONS BEFORE I CAN ANSWER THIS QUESTION.
WHERE DID YOU HEAR ABOUT ELHART K-9'S GERMAN SHEPHERD DOGS?
GOOGLE SEARCH/ANOTHER WEBSITE
REFERRAL
SOCIAL MEDIA - FACEBOOK INSTAGRAM
OTHER
DO YOU HAVE ANY OTHER QUESTIONS OR COMMENTS THAT YOU FEEL ARE IMPORTANT FOR ELHART TO KNOW IN ORDER TO DETERMINE THE RIGHT PUPPY FOR YOU?
In filling out this application and submitting, you are agreeing that you will be willing to spend the time and money needed to feed, house, train and provide medical and emotional care to your dog.
YES
NO
It is recommended to retain a copy of your questionnaire. Due to Elhart not receiving some of the questionnaires, please send a text to Jemine at 204-573-7138 to confirm receipt of submission.
