MARIKE sHEPHERDS

PUPPY/DOG

QUESTIONNAIRE

     1. FULL NAME           _____________________________________________________________________

        2. E-MAIL ADDRESS (required)   ________________________________________________________

        3. HOME ADDRESS   _____________________________________________________________________

        4. PHONE NUMBER(S)  __________________________________________________________________

        5. Do you prefer a male or female?  ______________________________________________________

        6. Do you have any experience with German Shepherds/White Shepherds?  EXPLAIN:

            ________________________________________________________________________________________

            ________________________________________________________________________________________

        7. Do you have a fenced in yard?  If so, how high is the fencing?

            ________________________________________________________________________________________

        8. Do you have any other pets?  __________________________________________________________

        9. What are your plans for this dog/puppy?  Obedience, agility, conformation, breeding or

             just loyal companion?   ________________________________________________________________

       10. Is this dog/puppy going to be a house dog or live outside in a kennel/run?  ____________

             ________________________________________________________________________________________

       11. Any children in the household?  How many?  Ages?  ___________________________________

             _________________________________________________________________________________________

       12. Do you plan on any life changing activities in the next couple of years, such as moving,

              getting married, or having children?  EXPLAIN:  _______________________________________

             _________________________________________________________________________________________

       13. How would you describe your neighborhood, street, housing situation?  _______________

             _________________________________________________________________________________________

             _________________________________________________________________________________________

       14. Any other helpful information that you can add will be greatly appreciated:  __________

              _________________________________________________________________________________________

              _________________________________________________________________________________________    

PLEASE COPY & PASTE IN E-MAIL SENT TO:  marikeshepherds@aol.com