June 2004

Thank you for inquiring about our Dogues de Bordeaux. We are dedicated to the Dogue de Bordeaux, we participate in conformation, working events, and temperament test our dogs.

We take every effort possible to make sure out dogs go to loving homes that will treat our pups with as much - if not more - love and respect that we do. We do our best to screen possible new owners. We have taken this questionnaire from a Dogue de Bordeaux colleague and are presenting it to you to fill out and return to us. To be considered for a home for one of our pups, please review our sample contract first, then fill out and print this questionnaire. This questionaire must be mailed to us via US Postal mail if you want to be added to our waiting list. This is not meant to criticize any potential home, but for us to determine if your family and home is suited and prepared for a Dogue de Bordeaux. (the form has been designed so you can type your info in then print it out - it is not an internet submissable form) Please mail your completed questionaire to us at 41 Rieder Road, Spotswood, NJ 08884, USA

Thank you!
Andrea & Tom Bialoblocki


Date:

Name:

Address:

Telephone Number:

Email Address:

Inquired about pups from:

Please give us the name, address and phone number of your vet (or one that has worked with you in the past):

Have you ever given up a dog to a shelter or a pound? If so, why?

What type of personality are you looking for in your dog?

Please give us any other information you think will help us to know you and your needs with respect to placing a puppy/dog most suited to your family/lifestyle

Have you spoke with any other breeders of Dogue de Bordeaux?
YES NO
If yes, please list them:

Are you currently on the waiting list for any other litters?
YES NO

Are you aware that Dogues de Bordeaux do shed? (sometimes profusely)
YES NO

Are you aware of all the potential health problems of the breed?
YES NO

Do you have children under the age of 7?
YES NO
Please list the ages of your children if any

Are your children (if any) ok around dogs and other animals?
YES NO

Do you live in a house, apartment, condo or townhome?

Do you have a fenced yard?
YES NO
If not, how will you provide security for your puppy when it is outside or you are away?

Is there someone home during the day, or able to get home to "potty" the puppy?
YES NO

Where will this puppy spend the day?

Will the puppy have regular contact with its family during the day?
YES NO

Will you crate train the puppy?
YES NO

Where will the puppy spend the evening?

Will the puppy have regular contact with its family during the evening?
YES NO

Where will the puppy sleep?

Are you going to/ willing to attend group training classes with this dog?
YES NO

Are you willing to obedience train this dog?
YES NO

Do you understand that if you are purchasing a pet quality dog that you will not receive any type of registration on this dog, and will be listed with the applicable registration bodies as un-breedable?
YES NO

Do you understand that if you are purchasing a pet quality dog that this dog must be spayed or neutered by the time it is 15 months old ?
YES NO

Do you understand that if you are purchasing a show prospect that the dog MUST be shown?
YES NO

Do you understand that all show prospect dogs are not to be bred until they 1) complete a championship, 2) are temperament tested, 3) have been health screened, and 4) evaluated by Punkin Head Bordeaux prior to being bred?
YES NO

Have you ever owned a Dogue de Bordeaux before?
YES NO

If not, what other breed of dog have you owned before (if any)

Do you still own the dog(s) mentioned above?
YES NO

If not, what happened to the dog(s)?

If any of the dogs owned are deceased, what were the circumstances?

Who will have primary responsibility for the care of this puppy?

Do all family members agree on the addition of a Dogue de Bordeaux to the Family?
YES NO

If not, who is not in favor of getting a Dogue de Bordeaux and why?

If you have any questions concerning any of these questions, please email us to discuss them.