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Von Scosher Rottweilers
Thanks for your interest in our dogs!

It has come to our attention that our Puppy Questionnaire form may not be compatible with certain email providers; we are not receiving those questionnaires. If you have sent a questionnaire recently, and have not heard from us, please email us at vonscosher@hotmail.com letting us know your email and that you have sent a Questionnaire.  I apologize for any inconvenience.

Puppy Questionnaire

Just complete this form. Click on Submit when ready to send.

All potential homes and others interested in our puppies MUST complete the form below as a first step to being considered for one of our puppies.


Your name:

Email address:


Address 1:
Address 2:
City:              State:   Zip:  
Phone (Home):     Phone (Work)  
Phone (Cell):     Phone (Fax)  

Good time to call if we need to reach you:

How were you referred to me?:

Are you interested in:

Older/Trained dog
Information only

Male   Female   Doesn't Matter   

Doesn't Matter   Other Upcoming Litter   

Structure/Size preference:

Doesn't Matter

What activities will you and your dog be involved in?(Check all that apply)

Obedience Ring

  Why are you interested in obtaining one of our dogs?

What qualities do you expect in this breed?

What qualities don't you want in this breed?

Is this your first time with this breed?
Yes    No

Why do you want to own this breed?

Previously owned dogs:

Animals currently at home with you:

Have you examined our Sales Policy and Contracts?
Yes    No

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, please explain why?

All Show/Breeding Prospects must be two years of age and have an OFA number before breeding is allowed. Are you willing to do prelim x-rays at 12 months and official OFA x-ray at 24 months?
Yes    No


Your age:  

Number of Children in the household:  

Ages of these children:

Others in household who will have contact with dog:

Who will be responsible for this puppy?  

Where will dog stay during the day?  

Where will dog stay during the night?  

Do you live in:

Do you own or rent?
Own    Rent

Is it a home or apartment?
Home    Apartment

Do you have a fenced in yard?
Yes    No

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

Additional information that may help us make our decision:

Von Scosher Rottweilers reserves the right to turn down any home not deemed suitable for our puppies. We would like to thank you for taking a moment to fill out this questionnaire.

Scott Allen
Von Scosher Rottweilers




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