| Name(s) |
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| Street Address |
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| City |
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| State |
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| Zip |
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| Phone Number |
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| E-Mail Address |
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| Your Martial Status |
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| People Living In Your Household |
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| (Please List Ages and Relation to You) |
| Occupation of all Adults |
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| Does everyone in the household agree to a new dog? |
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| Are children living regularly or visit often? |
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| Have you ever owned a dog before? |
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| If yes, number of years |
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If you currently own dogs, please list:
Age
Breed
Sex
Spayed/Neutered? (If not, why not?) |
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If you owned a dog, but no longer do, explain why not |
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| Please list any other pets the dog would encounter |
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| Do you live on |
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| Do you own or rent your home? |
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| If renting, does the land-lord approve? |
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| Please inform us of Land-owner contact information |
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Do you have a fence?
If so, what is it made of and how tall is it? |
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How do you plan to socialize the dog?
How do you plan to exercise the dog? |
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| Where will the dog be during the day? Where will it sleep at night? |
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| Please tell us why you are interested in adopt a Greater Swiss Mountain Dog? |
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| Have you ever owned a Swissy before? If yes, please explain. |
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| Are you interested in: |
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| Age? |
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| The activity level you are looking for: |
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Examples: if you'd only exercise your dog by playing with it in the back yard, that's Very Low; walking the dog a couple times a week is Low, walking the dog every day is Medium; jogging every day with the dog is High, jogging every day and/or taking the dog to work or to kid's soccer games & hiking on the weekends would be Very High.
NOTE: There is no riqht or wronq answer - Every dog has its own activity level and we want to match the dog with a family that shares the same activity level. |
| Do you agree to take a GSMD to basic obedience classes? |
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| Are you committed to take care of the dog for it's lifetime? |
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| Would you consider adopting more than one dog at a time? |
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| Would you consider a special needs dog? |
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| Would you consider a swissy mix? |
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| What do you think it will cost per month to provide for your dog? |
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| Is anyone in your household |
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Do have experience with any of the following?
Select all that apply, please. |
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| Please list your Vet Information (if applicable) |
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| Please list two personal references for yourself, with phone numbers |
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2)
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IMPORTANT!
By submitting this survey, you are stating that these questions are true and correct. |
| Your Name |
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| Today's Date |
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