Midwest Malinois

Puppy Questionnaire


Thank you for taking the time to fill out our questionnaire. Your patience is greatly appreciated as it is most important to us for our dog's overall well-being to be placed in enviroments that are understanding of the difference of this breed's abilities and behavior.


  
Name:
Email:
Address:
City:
State:
Zip/Postal:
Country:
Phone #:
Add. Phone #:
Your Age Range:


Do you have any experience with Malinois?     Yes      No
What experience, if any, do you have with working dogs?
   
Do you have any other animals?     Yes      No
If so, what type and how many?
   
Do you have any children?     Yes      No         
Ages?     
   
Why have you decided to get a Malinois?
   
What are you looking for in a Malinois?     Pet      Working Dog     
Gender Preferred:     Male      Female     
Is your intention to:     Breed      Spay/Neuter     
   
Please describe your living accomodations (apartment, townhouse, house, farm, etc.)
Do you rent or own your home?     Rent      Own     
Is your property fenced?     Yes      No     
Is your intention to kennel, in-house, or both?

                         Kennel
                         In-house
                         Both
   
What are your ultimate or long-range goals with this dog?
   
Do you, or will you, belong to any clubs?     Yes      No     
List clubs and organizations:
   
Which programs or activities will your Malinois be involved in?
Describe below:
   
How much time daily will you be able to spend with your Malinois?
   
Where or from whom did you hear about us?
   
Do you have a website?     Yes      No     
If so, please submit the web address below:
   
If you wish to add any additional comments in regards to this
questionnaire, please do so below:
   


Please note that this questionnaire is used only to assist you in finding the dog appropriate for you and your needs. All answers are kept confidential.



Thank you for your interest in Midwest Malinois, Belgian Malinois.
 
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