For those interested in one of our dogs, we ask that you fill out this questionnaire. Simply copy and paste it into a Word document, fill it out, and return it to us. If you are unable to do that, we will be happy to mail it to you.
Camp
Pit-Weiler
Home
of UKC APBT’s & Dual Registered Rottweilers
Stephanie Mueller
(920) 229-3223
This completed questionnaire will help me pick out the very best puppy for you, your family, and your lifestyle. It is very important that I find the best possible home for each puppy in each of my litters. Please fill in ALL of the information requested. (Even though you may think a question is unimportant, please answer it. Use more paper, if necessary.)
Name: _______________________________________ Spouse/Significant Other: ___________________________
Address: ____________________________________
City: _____________________ State: _______ Zip: __________
Telephone Number(s): Home:____________________ Work: ________________
With whom are you employed? __________________________________
Occupation: _______________________ Shift: __________________
Average hours worked weekly: _________________
Number of adults living in your household: ________
Hours that they are home (include yourself): ____________________
Number of children living in the household: __________
Ages: __________
What type of area do you live in? City ____ Suburban _____ Country ______
What type of housing?
Apartment _____ Condo _____ Duplex _____ House _____ Other _____
If you rent or lease, do you have permission from your landlord to own a dog?
Yes _____ No ____ Unsure _____
Would you mind if I contact your landlord? yes____ no_____
Do you have permission to specifically own a pit bull?
Yes ____ No ____ Unsure _____
What breeds of dogs have you previously owned, and what happened to them?
What other types of animals currently live in your home?
What do you know about the pit bull breed? Why do you want one?
Do you have a preference to what sex the puppy is? Yes______ No______
If yes, why?
Do you have a fenced in yard? Yes ____ No _____
If not, where will the puppy be exercised and allowed to eliminate?
Which member of the family will be taking the MAJOR responsibility for raising the pup?
What are your plans and goals for this puppy?
Would you take your pit bull to an obedience class? Yes ____ No ____
Have you ever been to a dog show? Yes ____ No _____
If yes, what kind was it? Conformation _____ Obedience _____ Both ______
Will the puppy live in the home? Yes _____ No _____
If not, where will he live?
Where, exactly, will the puppy sleep and be kept when no one is home?
Do you believe in dog crates? Yes ____ No _____
What are the major activities, hobbies or exercises you and your family most participate in?
How much of your free time goes into these activities?
How much time are you willing to allow a new dog to acclimate to your home?
Who is the veterinarian that you have or would use? Please list name, address and phone:
Would you mind if I called him or her to ask how you took care or take care of any past or present animals? Yes ______ No ______
Please list below the names, addresses and phone numbers of at least two (2) personal references that have known you for at least two (2) years:
Thank you for the information.