Your Last Name: *
Your First Name: *
Address where the dog is being kept: *
Phone number/s: *
E-mail address: *
Dogs name: *
What colour/pattern is the Dane? *
Is your dog a purebred Great Dane? *
If no, what other breed is your dog crossed with?
Dog's age and DOB if known: *
Dog's Microchip Number: *
Dogs weight: *
Is this an actual weight or an estimate?
What body condition would you say the dog is in? *
i.e. Lean, underweight, emaciated, chubby, overweight
Is the dog de-sexed? *
Please attach de-sex certificate
No Yes
Is the dog vaccinated? *
If yes:
When is vaccination booster due?
Please supply vaccination records.
Is the dog on heartworm prevention? *
If yes:
When is the next due date?
When was the last date dog was wormed? *
Has the dog ever been bred? *
If yes, please provide more details
If no, and the Dane is a Bitch, when was the bitch last on heat?
Is the dog from a Registered Breeder? *
No Yes
If yes, what is the Breeders Name?
If yes, have you notified the Breeder that you are seeking a new home for the dog?
If you have not, we may notify them on your behalf unless you instruct us not to.
If yes, does the dog have a Registered Name?
What is it?
If no, where did you get your Dane from?
Where does your dog stay when you are home? *
i.e. inside / outside?
Is the dog toilet trained? *
If yes, how does the dog indicate it needs to be let outside?
Where does your dog stay when you are not home? *
How does the dog react to strangers / visitors to your home? *
In what situations does the dog become nervous? *
i.e. around tall men, around traffic etc.
Where does the dog sleep? *
What commands/cues does the dog know? *
What type of discipline is the dog used to? *
i.e. verbal correct, physical correct, no correct etc.
How does the dog walk on the lead? *
i.e. beside you, out in front but not pulling, out in front and pulling?
What do you walk your dog on? *
i.e. house collar, check chain, halter, prong collar etc.
Would the dog ever pull you towards or away from something in a manner that you lost control? *
If your dog got the opportunity to meet a strange dog out on a walk how would your dog cope with this? *
Has the dog ever lunged at a person or dog in an aggressive manner? *
If yes, please provide details.
How does the dog react to any other type of stimuli on walks such as children, scooters, skateboards, bikes, people in general? *
Has the dog lived with children before? *
If yes, what were the ages and how is the dogs behaviour around the children?
Does your dog react in a negative manner to small dogs? *
No Yes
Can your dog safely go to an off leash park without bullying / harassing other dogs? *
No Yes
Has your dog attacked another dog before? *
If yes, please explain what happened.
Has your dog ever been attacked before? *
If yes, please tell us more. Also please advise if this has affected how your dog how interacts with other dogs.
Has your dog bitten a human before that was not part of play or puppy behaviour? *
If yes, please explain what happened.
Does your dog travel happily in a car? *
How often do they go for car rides? *
How does your do react to cats? Has the dog lived with a cat before? *
Has the dog been around any small animals such as guinea pigs or rabbits before? *
If yes, how did they react to them?
Has your dog been around farm animals before? *
If yes, please let us know which ones and how they interact with them.
How many walks per week does the dog get at the moment? *
Have you had the dog since it was a puppy? *
If yes, explain how you socialised the dog?
Does the dog like going to the beach? Can they swim? *
What activity does the dog enjoy most? *
What activity does the dog not enjoy the most? *
How does the dog cope with grooming such as being bathed, having nails clipped, ears cleaned and so forth? *
How does your dog react / behave at the Vets? *
Can you take food off the dog without it growling/biting you? *
No Yes
Can you take toys off the dog without growling/biting *
No Yes
Has the dog ever growled at anyone before? *
If yes, please explain.
What is the dog like with food and toys in the presence of other dogs? *
Does the dog bark / whine / cry when left alone? *
If yes, for how long?
What height fencing does your dog require? *
4ft - 5ft - 6ft - higher than 6ft
Has your dog ever escaped your yard? *
If yes, how high was the fencing? Did dog dig under or go over fence?
Does the dog bark at people / dogs going past the house or knocking on the door? *
If yes, please explain more.
Have you had complaints from neighbours / Council? *
If yes, please provide further details
In general, how would you explain the dogs' personality / temperament? *
How does your dog react in the build up to storms and during storms? *
Why are you re-homing the dog? *
Please be 100% honest, we will help you without judgement.
When does the dog need to be rehomed by? *
If you cannot find a new home for the dog by the deadline what are your plans for the dog? *
Is there anything else you would like to tell us about your dog?
What type of home would you like to see your dog in? *
Do you believe the dog is safe around adults? *
No Yes
Do you believe the dog is safe around children? *
No Yes
Do you believe the dog is safe around other dogs? *
No Yes
Is the dog food aggressive or aggressive when a person or another dog tries to take something it values? *
No Yes
Do you understand this statement? *
No Yes
