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HEARTS DESIRE MASTIFFS

Lynda & Bill Perkins

82066 Rand Rd

Irrigon, OR 97844

541-922-2925

Puppy Questionnaire

At Hearts Desire Mastiffs you become one of our family

Thank you for your interest in our Mastiffs. This questionnaire will help us in determining if one of our puppies would be a wonderful welcomed addition to your home.

Contact information:

Name/s: ___________________________________________________________________________

Address: ___________________________________________________________________________

City: ______________________________________________________________________________

State: _____________________________________________________________________________

Home phone with area code: ___________________________________________________________

Work/Cell: _________________________________________________________________________

Email: _____________________________________________________________________________

Drivers License #: ____________________________________________________________________

Date of Birth: ________________________________________________________________________

Marital Status: _______________________________________________________________________

Occupation: _________________________________________________________________________

Spouse's occupation: ___________________________________________________________________

Family:

Names and relations of other adults in household: ______________________________________________

____________________________________________________________________________________

Names and ages of children living and/or visiting in household on a regular basis: _______________________

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If no children, are you planning on having children? Yes No

Do any of your family members have allergies to dander/hair/dust? Yes No

Residence:

Single Family: Home Townhouse Farm Trailer Apt/condo Other

Do you: Own Rent Other

How many dogs can you legally have where you live?

Length at residence:

Fenced yard: Yes No

Describe Fence: ________________________________________________________________________

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Height:

Property size:

Plans for your new puppy:

Where will the Mastiff live? Inside Outside Kennel Other

When the Mastiff is outside will it be: Fenced Chained Free to roam

Are you interested in breeding your Mastiff? Yes No

Are you interested in showing your Mastiff? Yes No

Are all family members in agreement about getting a Mastiff? Yes No

If no Explain: ___________________________________________________________________________

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Do all family members work outside the home? Yes No

Approximate hours:

Would the Mastiff be left alone for 40 or more hours a week? Yes No

Where will the Mastiff be kept when you are not home? __________________________________________

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Where will the Mastiff sleep at night? ________________________________________________________

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Who will care for the Mastiff on overnight trips and vacations? ______________________________________

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Current/Previous Pet History:

Please list current dogs: ____________________________________________________________________

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Breed: _____________Sex____________Neutered/Spayed?____________________Age_______________

Previously bred?________________How many times?____________________________________________

Breed:______________Sex____________Neutered/Spayed?____________________Age_______________

Previously bred?________________How many times?____________________________________________

Breed:______________Sex_____________Neutered/Spayed?___________________Age_______________

Previously bred?________________How many times?____________________________________________

If not neutered or spayed, why not? __________________________________________________________

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Would you be willing to have your pet/s spayed/neutered before bringing home a puppy? Yes No

If your above mentioned pets have ever been bred before, please tell us what your reasons for breeding where and what your experience was. _________________________________________________________________

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Do you have plans to breed any of your current pets? _____________________________________________

Please tell us about all of your other pets: _______________________________________________________

_______________________________________________________________________________________

Have you ever owned a giant breed dog before? Yes No

What breed and what happened to it? _________________________________________________________

______________________________________________________________________________________

If you do not own dogs now, have you owned dogs in the past? Yes No

What kinds of dogs did you own and when? ____________________________________________________

______________________________________________________________________________________

What happened to your previous dogs: Ran Away Stolen Sold Given Away Given to rescue or shelter

Why?_________________________________________________________________________________

Euthanized? ___________________________________________________________________________

If so, why: ____________________________________________________________________________

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Died:

Cause of death: ________________________________________________________________________

_____________________________________________________________________________________

What do/did you like best about your dog? ____________________________________________________

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What do/did you like least about your dog? ___________________________________________________

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Acquisition:

Why do you want a Mastiff? Please mark all that apply:

Guard dog Companion Watch dog Therapy dog Prestige Child's friend Obedience prospect Protector

Do you prefer: Male Female

Do you have a color preference? Brindle Apricot Fawn No preference

Are you familiar with the characteristics and temperament of a Mastiff? Yes No

Are you aware that a Mastiff must live in the house and be a member of the family? Yes No

Are you willing to travel to pick up your dog? Yes No

How many miles are you willing to travel?

What time frame are you looking to get a puppy? _______________________________________________

If one is not available, are you willing to wait? Yes No

How long?

What age appeals to you the most? Puppy Young adult Older dog

Would you consider a rescue Mastiff? Yes No

What books have you read about the Mastiff? _________________________________________________

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Are you a member of any Mastiff clubs or groups? Yes No

Please list: ____________________________________________________________________________

_____________________________________________________________________________________

What internet sites, if any, have helped you in answering your questions pertaining to the breed: _____________

_____________________________________________________________________________________

Determining which Mastiff is best for your family:

Here are a series of important questions. Answering all carefully will help us select the right Mastiff for you.

What is least/most important to you? 1 is most important and 5 is least important.

Protection Show dog Child's friend Companion To breed Prestige Other

List other: _____________________________________________________________________________

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What aspect of a Mastiff is most important to you? 1 is most important, 5 is least important.

Appearance Agility Temperament Size Easy care coat Quiet companion Quick obedience Friendly Other

List other: _____________________________________________________________________________

If you have other dog/s how would you describe his/her temperament? Circle all that apply:

Dominant Mild tempered Submissive Shy Laid back Easily feared Aggressive Hyper Natural leader Aloof Follower Friendly Easy going

Family interaction:

What type of temperament would best suit your family?

What is your family's activity level?

Athletic Moderate Medium Low

What family activities do you intend to do with your Mastiff? ________________________________________

______________________________________________________________________________________

Financial aspects:

Are you aware of the everyday cost affiliated with owning a Mastiff? (Food, vet care, grooming, treats, toys, crates, bedding, training, geriatric care, emergency care, surgical procedures, etc.) Yes No

Are you financially prepared to own a Giant breed dog? Yes No

How much do you think on average per month a Mastiff will cost you?

Are you willing to take on the financial responsibility of your Mastiff when it is in its geriatric stage? (Frequent vet visits, blood work, teeth cleaning, etc.) Yes No

What type of food do you intend to feed your Mastiff? _____________________________________________

Would you have a problem feeding a suggested diet? Yes No

Do you have a veterinarian that you are using now? Yes No

If you do have a veterinarian is he/she familiar with Mastiffs? Yes No

Would you be willing to follow a vaccination schedule different than that suggested by your vet? Yes No

What type of vehicle would you be using to transport your Mastiff in? _________________________________

If you own an oversized vehicle are you willing to purchase a ramp for your Mastiff? Yes No

Family Interaction

Will all family members be involved with the care of the Mastiff? Yes No

If no please explain: _______________________________________________________________________

_______________________________________________________________________________________

How much adult supervision of dog and child will be provided? ______________________________________

_______________________________________________________________________________________

Is everyone willing to be involved in care and raising of the dog? Yes No

Please explain: __________________________________________________________________________

______________________________________________________________________________________

Who will be the primary care giver? __________________________________________________________

Training & Socialization:

Proper socialization is the key to raising the perfect Mastiff with a stable temperament. A properly socialized dog is a respectable member of society and its temperament is a reflection of its owner's care and responsibility.

Are you willing to provide the Mastiff with socialization with people? Yes No

Are you willing to provide the Mastiff with socialization with other dogs? Yes No

References:

Please list references below along with contact information.

Personal: ______________________________________________________________________________

______________________________________________________________________________________

Personal: ______________________________________________________________________________

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Veterinarian: ____________________________________________________________________________

_______________________________________________________________________________________

Signature: ______________________________________________________________________________

Date: _________________________________________________________________________________