First Name

Last Name

Address 

City   State Zip

Home Number

Fax Number

Cell Number

Email Address

Best time of day to contact

1. How were you referred to us?

2. What has prompted you to consider purchasing a great dane puppy?

3. Have you ever met a great dane? YES NO

4. A.  Have you ever owned a great dane before?  YES NO
    B.  If yes, when?

5. Have you ever owned a purebred dog? YES NO

If yes, what breed(s)?

6. Do you currently own any pets? YES NO

If yes, please list how many, what types, ages, and temperaments.

7. Have you ever put a pet to sleep? YES NO

If yes, please list reasons:

8.  What are the main reasons for purchasing a Great Dane? (please check all that apply)

9.  When are you looking to purchase a puppy?    

10.  What color Great Dane are you looking for ?   Blue Black Fawn Brindle Harlequin Mantle

11. Gender preference:   NO PREFERENCE MALE FEMALE

     If you have a preference, please specify why:

15.  If the preferred sex is not available, would you consider the other?   YES NO NO PREFERENCE

12.  What qualities are you looking for in a Great Dane?

13. Have you conducted research on the care of a Great Dane? YES NO

If yes, state where:

14.  A.  Are you willing to follow the health guidelines supplied by Spiritual Danes regarding vaccinations, exercise, feeding, etc....?    YES NO DEPENDS

       B. If no or Depends, please explain :

15.  A.  Do you live in a (single family house, apartment, condo, etc.)

       B.  If you rent have you checked with your landlord about getting a Great Dane, and will you be able to provide proof of authorization?  YES NO

16.  Is your yard completely fenced with a secure fencing?   YES NO

If yes, what type of fencing do you currently have and how much area is fenced in?

17.  Where would the puppy or dog primarily spend its time?

18.  Where would the puppy/dog be housed during the day if no one is home (i.e. loose in the house, crated, kennel, yard, confined to a specific room)?

19.  How many hours per day will this puppy/dog be left alone?   1-2 2-4 4-6 6-8 9+

20. Will you be crate training? YES NO

21.  Where will the puppy/dog sleep at night (i.e. loose in the house, crated , kennel, yard, confined to a specific room)?

22.  Do you have a veterinarian?      YES NO

23.  Please list three references, e.g. breeder, veterinarian, etc. One reference needs to include a veterinarian. Please include your relationship to the individual listed and a contact number.

24.  Veterinary expenses are very costly for a larger animal. Are you aware of the cost of caring for a Giant Breed? Can you afford maintenance, as well as an excess of $1000 in an emergency? YES NO          

25.  Are you willing to spay/neuter this great dane? YES NO

26. Have you completed any AKC titles on other dogs? YES NO

If yes, please elaborate:

27. If you are purchasing as a pet, are you willing to spay or neuter no earlier than a year of age and provide documentation? YES NO  

28.  Are you willing to stay in regular contact with Spiritual Danes for the life of the dog and provide updates? YES NO  

29. Are you committed to raising and training a Great Dane? YES NO  

30. If something arises in your life and you are no longer able to care for your Great Dane, are you willing to return to Spiritual Danes? YES NO  

Please comment on any further information in which you may feel helpful in deciding the suitability of your home for a Great Dane.