If no children, are you planning children?

Yes   No  

Your Residence: Pick One... Apt/Condo Townhouse Trailer Single Family Farm Other   Do you:   Pick One... Own Rent   Location:   Pick One... Urban Suburban Rural

Your Occupation:

Spouse's Occupation:

Do any family members have allergies to hair, dander, or dust?

Yes   No    

Pet Ownership

 List Current Dogs you have (up to 5):

Breed	Sex	Neutered/Spayed?
	M  F	Yes  No
	M  F	Yes  No
	M  F	Yes  No
	M  F	Yes  No
	M  F	Yes  No

Please tell us about all of your other pets:

 

If you do not own dogs now, have you owned dogs in the past?

Yes   No

What kind of dogs did you own and when?

What do you like BEST about your past or current dog(s)?

What do you like LEAST about your past or current dog(s)?

What happened to your past dog(s)?

Pick One... Ran away Stolen Sold Given away   Why?  

 

Given to Rescue?  Why?  

  Euthanized?  Why?  

Died?  Why?  

Have you ever owned a large breed dog? Yes   No

About Your New Puppy

Do you have a fenced yard? Yes   No  

Where will your dog live?

Pick One... Inside Outside Kennel Other   If Other, please list:  

If your dog is to live outside, what type of shelter will be provided?

Will the dog be...

Pick One... Fenced? Tied Or Chained? Free To Roam? Other

Would the dog be left alone for 40 or more hours a week?

Yes   No

Where will the dog be kept when it is alone?

Where will the dog sleep at night?

 

Why do you want a Mastiff?

 

 

Male or Female?

Pick One... Male Female No Preference

Do you have a color preference?

Pick One... Fawn Brindle Apricot No Preference

Are you willing to travel to pick up the dog?

Yes   No

What time frame are you wanting a puppy?

If no puppies available, how long are you willing to wait?

What age appeals to you most?

Pick One... Puppy Young Adult Older Dog No Preference

Understanding Your Expectations

The questions below help us to better understand your expectations. Please answer all questions.

Why do you want a dog?
1=Most Important
8=Least Important

Pick One... 1 2 3 4 5 6 7 8	Protection
Pick One... 1 2 3 4 5 6 7 8	Companion
Pick One... 1 2 3 4 5 6 7 8	Show Prospect
Pick One... 1 2 3 4 5 6 7 8	Breeding
Pick One... 1 2 3 4 5 6 7 8	Obedience Prospect
Pick One... 1 2 3 4 5 6 7 8	Child's Friend
Pick One... 1 2 3 4 5 6 7 8	Prestige
Pick One... 1 2 3 4 5 6 7 8	Other (Please list)

 

 

What aspect of a dog is most important to you?
1=Most Important
9=Least Important

Pick One... 1 2 3 4 5 6 7 8 9	Appearance
Pick One... 1 2 3 4 5 6 7 8 9	Agility
Pick One... 1 2 3 4 5 6 7 8 9	Temperament
Pick One... 1 2 3 4 5 6 7 8 9	Easy Care Coat
Pick One... 1 2 3 4 5 6 7 8 9	Quiet Companion
Pick One... 1 2 3 4 5 6 7 8 9	Quick Obedience
Pick One... 1 2 3 4 5 6 7 8 9	Friendly Attitude
Pick One... 1 2 3 4 5 6 7 8 9	Size
Pick One... 1 2 3 4 5 6 7 8 9	Other (Please list)

 

 

What physical attributes are important to you?
1=Most Important
12=Least Important

Pick One... 1 2 3 4 5 6 7 8 9 10 11 12	Mask Color
Pick One... 1 2 3 4 5 6 7 8 9 10 11 12	Angulation
Pick One... 1 2 3 4 5 6 7 8 9 10 11 12	Wrinkles
Pick One... 1 2 3 4 5 6 7 8 9 10 11 12	Ear Color
Pick One... 1 2 3 4 5 6 7 8 9 10 11 12	White Toes
Pick One... 1 2 3 4 5 6 7 8 9 10 11 12	Toenail Color
Pick One... 1 2 3 4 5 6 7 8 9 10 11 12	White Chest
Pick One... 1 2 3 4 5 6 7 8 9 10 11 12	Coat Length
Pick One... 1 2 3 4 5 6 7 8 9 10 11 12	Rear Dew Claws
Pick One... 1 2 3 4 5 6 7 8 9 10 11 12	Movement
Pick One... 1 2 3 4 5 6 7 8 9 10 11 12	Bite
Pick One... 1 2 3 4 5 6 7 8 9 10 11 12	Bone Size

 

 

If you have other dog(s), how would you describe their temperament?
(Check all that apply)

Dominant	Mild Tempered	Submissive
Aggressive	Shy	Natural Leader
Follower	Friendly	Aloof

 

 

What type of temperament would best suit your family?

 

 

What is your family's activity level?

Pick One... Athletic Moderate Low Other Other (Please list)  

 

What traits turn you off?
(Check all that apply)

Drooling	Odor	Jumping	Chewing
Shedding	Barking	Digging	Other

Other (Please list)

What family activities would you like you dog to join in?

   

 

What activities do you intend to do with your Mastiff as a pup?

 

As an adult?

 

Are you prepared for the financial responsibility of owning a giant breed dog?

 

Puppy's Diet & Health Care

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

Pick One... Dry Cooked Natural raw Other Other (Please list)

 

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

 

Do you intend to follow the vaccination schedule provided by the breeder or that of your veterinarian?

Breeder  Veterinarian

 

Comments

 

Puppy's Interaction with Your Family

If you have childeren how much responcibility will your child have in the care of the new puppy?  

Pick One... Total Some Minimal None	Housebreaking
Pick One... Total Some Minimal None	Socialization
Pick One... Total Some Minimal None	Feeding
Pick One... Total Some Minimal None	Grooming
Pick One... Total Some Minimal None	Obedience
Pick One... Total Some Minimal None	Watering
Pick One... Total Some Minimal None	Other (Please list)

How much adult supervision of dog and child will be provided? Pick One... Maximum Some Minimal None

Are all members of your household aware and welcoming of acquiring a dog?

Yes  No 
If No, Explain 

Is everyone willing to be involved in the care and raising of the dog?

Yes  No 
If No, Explain 

Who will be the primary caregiver?

 

Puppy's Socialization & Training

  Proper socialization is the key to raising a dog with stable temperament . A dog's temperament is a reflection of its owner's care. Are you willing to provide the dog with proper socialization with people? Yes  No

Are you willing to provide the dog with proper socialization with other dogs?

Yes  No

If no children reside with you, how often will the dog come into contact with children?

Pick One... Often Occasionally Never

What kind of training are you planning to do with the dog?

References

Please list two (2) personal references. Please include their phone number.

 

Please list a veterinary reference. Please include phone number.

 

Thank you for taking the time to complete our puppy application. This will allow us to get to know
you and your family a little better. We will be in contact with you shortly after receiving your application. Should
you have any questions in the meantime, please do not hesitate to email us.