DELAWARE VALLEY DOBERMAN PINSCHER ASSISTANCE, INC.

357 THIRD AVE, PHOENIXVILLE, PA 19460

610-935-0896

Adoption Questionaire

Again, thank you for taking the time to fill out this questionaire completely. Our goal is to make each adoption a rewarding experience for you and your new Doberman.

Name:

Address:

City, State, Zip:

Home Phone:

Work Phone:

E-Mail address

Do you have a preference for the sex of the Doberman?

Male

Female

No Preference

Do you have a preference for the color of the Doberman? (Check all that apply)

Do you have a preference for the age of the Doberman? (Check all that apply)

Do you have a preference for the ears of the Doberman?

Cropped (Ears surgically altered to the standing position)

Natural (Ears uncut and down, similar to the Labrador Retriever)

No preference

Do you have a preference for the tail of the Doberman?

Docked (Tail cut short to 1st or 2nd vertebrae)

Natural (Tail long, similar to the Labrador Retriever)

No preference

What is it about Dobermans that have generated your interest in the breed?

What other breeds have you considered?

For your needs, what are the three characteristics that you find most appealing about a new Doberman? (Choose three)

DVDPA, Inc. REQUIRES that all new adopters facilitate the bonding process by taking their new dobe to at least an introductory obedience training class. Do you intend to go to training for the new dobe?

Yes

No

Please answer the following questions completely as we use the information when determining a match with a Doberman in our program:

Which of the following best describes your current residence? (Check one response)

Own a home

Rent/Lease a home

Own/Rent/Lease a townhouse (multiple family dwelling)

Other

(Please note: If you rent/lease your residence, a copy of the lease will be requested before the adoption is finalized.)

Do you have a fenced in yard to exercise the Doberman safely?

NO

YES, (Describe)

If you do not have a fenced in yard, how do you plan to exercise the Doberman safely?

Approximately how many hours each day will the Doberman be alone?

Three hours or less

More than three hours, but less than six

More than six hours, but less than ten

More than ten hours, but less than fourteen

More than fourteen

Please list below the names of anyone residing in your home, including yourself. Along with the name, please provide their relationship to you and their age.

Please provide below a list of any animals living with you currently along with the age of the animal, how long you have had it, and where it is kept in your home.

Does anyone in your household have any known allergies to animals?

Yes

No

If your answer is yes, please provide a brief explanation.

Do you have a veterinarian you have used before and plan to use with your new Doberman?

Yes

No

If you answered yes, you must provide us with your veterinarian's name, address, and phone number to avoid a delay in the application process. If you do not have a vet, please respond by indicating so in the space provided.

If you answered No, would you like a DVDPA representative to recommend a veternarian in your area that is especially knowledgeable about Dobermans?

Yes

No, because

Have you owned a Doberman before?

Yes

No

If yes, please provide us with a brief history about your Doberman.

How did you find about Delaware Valley Doberman Pinscher Assistance, Inc.?

Would you consider volunteering for DVDPA, Inc.?

Yes

No

If yes, in which of the following area?

Thank you for taking the time to fill out this questionaire. Again, we will review it as soon as possible and contact you within 7-10 days, if a Doberman in our program is a good match with the information you provided to us in this questionaire. Please remember that a incomplete questionaire delays the processing of your application with us.

If you have any comments or concerns about adopting a Rescue Doberman or about this program, please use this space to share them with us. We are always interested and open to your viewpoint.


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