Questionnaire Part 4

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20.      Any incidences of rage syndrome in the Sire or Dam?

Please list the percentages of rage syndrome found in the following litters (example: list as 3 out of 5. 10 puppies in the litter total). How did you handle each occurrence in litters you placed?   

Sire’s Littermates _________________             

Dam Littermates ______________

All sire’s siblings including ½ ________                   

All dam’s siblings including ½ ________

How many litters total? _______                                  How many litters total? _______

All sire’s siblings’ (inc. ½) litters _______                      All dam’s siblings’ (inc. ½) litters _______

How many litters total? _______                                  How many litters total? _______

Sire’s offspring ___________                                      Dam’s offspring ___________

How many litters total? _______                                  How many litters total? _______

21.      Has the sire or dam ever growled, snapped, or been dismissed from a show ring for temperament?

Please list the percentages of dogs in the following litters (example: list as 3 out of 5. 10 puppies in the litter total). that have growled, snapped, or been dismissed from a show ring for temperament. How did you handle each occurrence in litters you placed?   

Sire’s Littermates _________________             

Dam Littermates ______________

All sire’s siblings including ½ ________                   

All dam’s siblings including ½ ________

How many litters total? _______                                  How many litters total? _______

All sire’s siblings’ (inc. ½) litters _______                      All dam’s siblings’ (inc. ½) litters _______

How many litters total? _______                                  How many litters total? _______

Sire’s offspring ___________                                      Dam’s offspring ___________

How many litters total? _______                                  How many litters total? _______

21.  Has the sire or dam ever shown crate or food aggression?

Please list the percentages of crate or food aggression found in the following litters (example: list as 3 out of 5. 10 puppies in the litter total). How did you handle each occurrence in litters you placed?   

Sire’s Littermates _________________             

Dam Littermates ______________

All sire’s siblings including ½ ________                   

All dam’s siblings including ½ ________

How many litters total? _______                                  How many litters total? _______

All sire’s siblings’ (inc. ½) litters _______                      All dam’s siblings’ (inc. ½) litters _______

How many litters total? _______                                  How many litters total? _______

Sire’s offspring ___________                                      Dam’s offspring ___________

How many litters total? _______                                  How many litters total? _______

22.  Has the sire or dam ever shown dog aggression (please include male-male aggression)?

Please list the percentages of dog aggression found in the following litters (example: list as 3 out of 5. 10 puppies in the litter total). How did you handle each occurrence in litters you placed?   

Sire’s Littermates _________________             

Dam Littermates ______________

 

All sire’s siblings including ½ ________                   

All dam’s siblings including ½ ________

How many litters total? _______                                  How many litters total? _______

All sire’s siblings’ (inc. ½) litters _______                      All dam’s siblings’ (inc. ½) litters _______

How many litters total? _______                                  How many litters total? _______

Sire’s offspring ___________                                      Dam’s offspring ___________

How many litters total? _______                                  How many litters total? _______

23.  Has the sire or dam ever bitten a human for whatever reason?  Please explain. 

Please list the percentages of dog found in the following litters (example: list as 3 out of 5. 10 puppies in the litter total) that have bitten a human. How did you handle each occurrence in litters you placed?   

Sire’s Littermates _________________             

Dam Littermates ______________

All sire’s siblings including ½ ________                   

All dam’s siblings including ½ ________

How many litters total? _______                                  How many litters total? _______

All sire’s siblings’ (inc. ½) litters _______                      All dam’s siblings’ (inc. ½) litters _______

How many litters total? _______                                  How many litters total? _______

Sire’s offspring ___________                                      Dam’s offspring ___________

How many litters total? _______                                  How many litters total? _______

24.  Have the sire or dam ever had Cystinuria?

Please list the percentages of dog found in the following litters (example: list as 3 out of 5. 10 puppies in the litter total) that have had cystinuria. How did you handle each occurrence in litters you placed?   

Sire’s Littermates _________________             

Dam Littermates ______________

All sire’s siblings including ½ ________                   

All dam’s siblings including ½ ________

How many litters total? _______                                  How many litters total? _______

All sire’s siblings’ (inc. ½) litters _______                      All dam’s siblings’ (inc. ½) litters _______

How many litters total? _______                                  How many litters total? _______

Sire’s offspring ___________                                      Dam’s offspring ___________

How many litters total? _______                                  How many litters total? _______

25.  Have the sire or dam been diagnosed with a heart problem?

Please list the percentages of dog found in the following litters (example: list as 3 out of 5. 10 puppies in the litter total) that have been diagnosed with a heart problem. How did you handle each occurrence in litters you placed?   

   

Sire’s Littermates _________________             

Dam Littermates ______________

All sire’s siblings including ½ ________                   

All dam’s siblings including ½ ________

How many litters total? _______                                  How many litters total? _______

All sire’s siblings’ (inc. ½) litters _______                      All dam’s siblings’ (inc. ½) litters _______

How many litters total? _______                                  How many litters total? _______

Sire’s offspring ___________                                      Dam’s offspring ___________

How many litters total? _______                                  How many litters total? _______

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