4817 Big Horn Ave, Sheridan, WY  82801

Your answers to this questionnaire will help us to match your German Shepherd Dog with a new owner.

Please Print!

Dog’s Name:    ___________________________      Age: ______________       Sex:  _______________

Altered (neutered)?  ________  Color:  ____________________  AKC Registered? _______________    

Breeder’s Name  ____________________________________________________________

Is your dog primarily a house dog?  _________            yard dog?  _________   both?  ______________

Is your dog housebroken?  _____  If not, why?

Can your dog be trusted to stay by itself in the house for extended periods of time?  ______   If not, why?

Can your dog be trusted to stay by itself in a fenced yard?  ________   If not, why?

Does your dog jump fences?  ____________    How high? ______________________________________

Has your dog been kept tied or chained?  ______   If so, why? 

Where does your dog sleep? _____________________________________________________________

When is it normally fed? ________________         Where?______________________________________

What type and brand of food does it eat?____________________________________________________

Amount per meal  __________________________________   Number meals/day  __________________

 Does your dog:

            Tear furniture                Yes      No       ?                      Chase cars                   Yes      No       ?

Tear carpet                   Yes      No       ?                      React to uniforms          Yes      No      ?

Dump trash                   Yes      No       ?                      Walk on leash               Yes      No      ?         

Bark or howl                Yes      No       ?                      Ride well in car             Yes      No       ?

Dig holes in yard           Yes      No       ?                      Chew                           Yes      No       ?

Roam                           Yes      No       ?

             Other?  ___________________________________________________________________

How would you describe this dog?  (circle any that apply)

Active      Affectionate     Aggressive     Attentive     Confident     Demanding     Destructive

Easygoing     Fearful     Friendly     Gentle     Happy     Hardheaded     Hyperactive     Independent

Intelligent     Insecure     Loving     Mannerly     Noisy     Obedient     One Person Pet     Passive

Playful     Protective     Quiet     Reserved     Sensitive     Sociable     Stubborn     Submissive

Timid     Uncontrollable     Other ____________________________________________________

 Does your dog get along with:                           Comments?

            Young Children            Yes      No       ?                     

            Older Children             Yes      No       ?  

Men                             Yes      No       ?  

Women                        Yes      No       ?  

Large Dogs                  Yes      No       ?  

Small Dogs                   Yes      No       ?  

Cats                             Yes      No       ?  

Other Small Animals     Yes      No       ?  

Horses                         Yes      No       ?

             Livestock                     Yes     No       ?

What age was your dog when acquired? ____________________________________________________

Was your dog obtained? (circle all that apply)

From a breeder     From a friend     From a Pet Shop     As a gift       

From an Animal Shelter     Abandoned/Stray     From a Rescue Organization  

Other  ________________________________________________________________________

 What would you like to change about your dog?  (circle all that apply)  

Aggressiveness     Barking     Biting     Chasing     Chewing     Climbing     Digging     Fear of  Noise      

Fighting     Growling     Jumping-up     Over protectiveness     Raiding the garbage     Running Away      

Soiling     Stealing     Howling     Other ________________________________________________

 Has your dog ever shown any aggressive tendencies?  Please explain in detail.

 Has the dog ever bitten anyone?  Please explain in detail.

 Has the dog been obedience trained?   ____________   Has he attended training classes?  ________

 What kind of class(es)? __________________________________________  Did he graduate?  ________

 What commands/exercise does your dog know? 

Who had the major responsibility of training your dog?  _________________________________________

 How is your dog’s response to commands?

Excellent     Good     Fair     Poor     When he/she wants to

What is the best way to get your dog to listen/obey?

            Praise     Treats     Correction     Firm Voice     Other ____________________________________

Please list any particular fears your dog has (thunder, vacuum, etc.)

Does your dog have any touch sensitivities (places/ways he doesn’t like to be touched)?  If yes, list.

Is your dog possessive of toys, food or his people?  Please explain.

Last vaccination date:  ______________   What shots given? ____________________________________

Last heartworm test  ______________________ 

Currently on heartworm medications?  ____No  ____  Yes    Daily?  Monthly?  Date last given?  __________

Does your dog have any past or current health problems?  List them.

Has your dog been taught any tricks or commands other than standard obedience commands?  List.

Does your dog have any favorite games or toys?  List.

How long have you owned this dog?

Why are you giving it up?

Are there any special issues or problems we should understand concerning this dog?