Contact Information: Name:  Address:     City:  Prov/State:  Country:       Postal/Zip Code:   Home Number:   Work Number:    Email address: (please fill out completely)                          How did you find us?        Are you interested in a....? Male  Female      Puppy  Older dog Information only   Are you interested in....? Companion/Pet  Show/Breeding     Obedience  Agility Working Sport   Why are you interested in one of our dogs?     What qualities do you expect in this breed?      What qualities don't you want with this breed?     Have you owned this breed before? Yes No       Why do you want to own this breed?      Previously owned dogs (give breed/how long you had them for, etc.)      Animals presently in home now...      Are you committed to caring for this dog for its lifetime? Yes No       Are you willing to spay/neuter this dog?  Yes No       If not, why?      What health clearances do you feel a dog should have before being bred?     Family Data:   Are you.... Married Single       Your age:    # of children:      Age of children:   Others in household who will have contact with dog:     Who will be responsible for this puppy/dog for the majority of the time?      Where will tbe dog stay during the day?      Where will the dog stay during the night?      Will your puppy/dog have access to a securely fenced yard/run?  Yes No       Do you live in...?  Urban Suburban     Rural       Do you own or rent your home?  Own Rent       House or Apartment?  House Apartment   Have you read information about puppy/dog care?  Yes No   Do you have all the equipment and a proper crate for this puppy?  Yes No   Have you checked into any breed/training clubs in your area?  Yes No   If so, which ones?     Please list 3 personal references (ie. your Vet, other breeders, breed clubs, etc.). Please include name, contact info (please include email, if possible), and their relationship to you.     Please list any additional information that may help us make our decision.    When you click send, it will state page not found, please just click the back button.  The form is being sent. von Steintor Rottweilers reserves the right to turn down any homes not deemed suitable for our puppies. Filling this questionnaire out does not guarantee you a puppy....it is only the beginning of the interview process.  We would like to thank you for taking a moment to fill out this questionnaire.  Sincerely, Bridget Moran  von Steintor Rottweilers   *Please Note:  Filling out our Puppy Questionnaire in no way guarantees you a puppy. It is only the beginning of the interview process.  Puppies will not be placed into any home, when all communication has been done via email.  Please be prepared to come to our home, to meet ourselves, and our dogs, or, if you are a far distance from us, be prepared to have a home check done by a fellow breeder or rescue personnel in your area.