POTENTIAL OWNER QUESTIONNAIRE
Thank you for your interest in Brier Cross Kennel European Working Line Riesenschnauzer. We would like to get to know prospective owners to be able to determine if a European Working Line Riesenschnauzer is right for you.
Please fill in all information that applies to you so we can make the best possible match for you and your new puppy or adult dog.
All information provided will be kept confidential.
Personal Information:
Name:__________________________________________________________________
Address:________________________________________________________________
City: ___________________________________________________________________
Province/State: __________________________________________________________
Postal/Zip Code: _________________________________________________________
Country:_______________________________________________________________
Email Address: __________________________________________________________
Home Telephone Number (please include area code): __________________________
What is the best time to contact you? (Please include time zone):_________________
Work Telephone Number (please include area code): __________________________
Are phone calls at your work permissible and if so, what is the best time to call? ___
________________________________________________________________________
Your occupation:_________________________________________________________
Spouse’s occupation: _____________________________________________________
Do you or your spouse operate a home-based business? ________________________
Number of adults living in your home? ______________________________________
Number of children living in your home? ______________Ages? ________________
Is someone home during the day?___________________________________________
Your time at home? ______________________________________________________
Spouse/other household members time at home? ______________________________
Other pets at home? _________ Please describe_______________________________
What breeds of dogs have you owned in the past? How long
did they live with you and where are they now,
etc?_______________________________________________
________________________________________________________________________
________________________________________________________________________
What made you decide on a European Working Line?
_________________________
_______________________________________________________________________
_______________________________________________________________________
Tell us a little about your plans for your new Puppy:
Where will your new puppy be when you are home? ___________________________
At work? _______________________________________________________________
What are your feelings on crate training? ____________________________________
Describe:
Type of residence? _______________________________________________________
Location? ______________________________________________________________
Yard Size? _____________________Do you have a fenced yard? _________________
Do you have a dog run? ________________Size?______________________________
Where will your puppy spend most of it’s time?
______________________________
________________________________________________________________________
Which puppy would you prefer? Male_________ Female_________
Will you spay or neuter your puppy?________________________________________
Are you interested in breeding when your puppy grows up? ____________________
If yes, what are your reasons for wanting to breed?____________________________
Is there an obedience class offered in your area that you would be able to attend?__
_______________________________________________________________________
Please describe the importance for acquiring a Riesenschnauzer:
Business Security___________________________________________________
Home Security_____________________________________________________
Personal Protector_________________________________________________
Psychological Security______________________________________________
Companionship____________________________________________________
Family Guardian___________________________________________________
Child’s Playmate___________________________________________________
Obedience Trials___________________________________________________
Schutzhund Trials__________________________________________________
French Ring
Trials_________________________________________________
Belgium Ring
Trials_________________________________________________
Search and Rescue_________________________________________________
Agility____________________________________________________________
Therapy/Service___________________________________________________
Working K-9______________________________________________________
Tracking or Detection Work_________________________________________
Breed/Conformation Stock__________________________________________
Other____________________________________________________________
Please share with us a few details about your lifestyle including some of your favorite activities that may include your pup. _________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Household Information:
Are there any children under 16 who visit your home on a regular basis?__________
Do you employ domestics? ______Will they handle your puppy?_________________
Do children in your neighborhood consider your home & property the neighborhood playground? ________________________________________________
Are there any members of your family that fear dogs? _________________________
Are there any members of your family that are allergic to dogs? _________________
Are there dogs adjacent to your home that could come in
contact with your pup?___
________________________________________________________________________
Your puppy’s name:
Your puppy will be registered with a name beginning with the letter of it’s particular litter. You may choose the registered name providing it meets certain requirements, and /or you may choose a “call” name.
Example: this is the “C” litter. Registered name - “Congo von der Briercross” call name – “Fido”.
References: These may include training clubs, volunteer associations, coworkers, etc.
Name, address and phone number of your veterinarian.________________________
_______________________________________________________________________
_______________________________________________________________________
________________________________________________________________________
Personal References. ________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Are You Currently a Member of the Working Riesenschnauzer
Federation?_____________________________________
Everyone at Brier Cross Kennel would like to Thank You for sharing an interest in Riesenschnauzers.
Sincerely,
Tracy A. Gustafson
Richard W. Mitchell
Tracy A Gustafson
Richard W Mitchell
Brier Cross Kennel
North
30 Cross Street
Seekonk, MA 02771
508-399-6742
South
2635 SW 4th Lane
Cape Coral, FL 33991
239-282-2156
