You MUST be at least 18 years of age to complete this questionnaire.


Please provide the following contact information:
This information will be kept confidential and will be used by International K9 only.

Name
Street address
Address Line 2 
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail
   
What breed are you interested in? (e.g. German Shepherd, Doberman...)
 
Does your dog need to be good with children? Yes    No
  If Yes, how old are the children?
 (e.g. 5, 7, 9)
 
Does your dog need to be good with other animals? Yes    No
  If Yes, what kind and how old are the other animals?
 
Will your new dog be inside your house? Yes    No
  Please describe house and living conditions for the new dog?
 
Will this dog go to work with you? Yes    No
  If Yes, what kind of environment will the dog be in?
 
Are there any special qualities you desire in your new dog?
 
Does the dog need to search the house before you enter it? Yes    No
Will the dog be riding in the car with you? Yes    No
Do you need the dog to prevent car jacking? Yes    No
Does you dog need to have gun training? Yes    No

 
 (1 = Not Important, 10 = Very Important)
On a scale from 1 to 10, how important is protection to you?
On a scale from 1 to 10, how important is tracking to you?
On a scale from 1 to 10, how important is obedience to you?
In the photo gallery I most like the looks of ?
   
What coat length do you prefer?

Short
Medium
Long
Is gender important to you?

Not Important
Yes, I want a MALE
Yes, I want a female
Is color important to you?

Not Important
Prefer Black/Tan 
Prefer Black/Red
 
 
Prefer Dark Sable
Prefer Black
   
Where did you hear about us?

Yellow Pages
The Tonight Show
Showcase Magazine
 

Newspaper Article
Internet Search
Dupont Registry
If referred, from whom?

 

© 2005 International K9, Inc.  - (800) 453-3DOG - Email: intk9@internationalk9.com