Volunteer Submitting Form:

Date of call:

Follow-Up Questions:

Current address and Phone # (if different from contract)

Dog's name and NERR&R ID#:

Is your NERR&R dog still living and in your possession? Yes No
If No, where is your NERR&R adopted Rottweiler?

Do you have a current email address? (It will only be used for routine follow-ups. We do not give out information to third parties)

Has your NERR&R dog attended any additional formal training sessions this year, or received any titles?
Yes No
Where?

When?

Titles?

Are you satisfied with your NERR&R dog as a family member?
Completely We're getting there Marginally Not at all

Are there any concerns you have regarding your NERR&R dog?

Has your NERR&R dog ever bitten a person? Yes No
If yes, please explain the incident (optional):

Are you satisfied with the services you have received from NERR&R?
Completely We're getting there Marginally Dissatisfield

What could NERR&R do to improve its services?

Do you check our website regularly? Yes No

Do you read our newsletter? Yes No

Tell us what remarkable improvements or achievements your NERR&R dog has accomplished.

Would they like the Adoptions Follow-Up Coordinator or a member of the Education Team to follow up with them on their comments?
Yes No

Phone # and time to reach them or e-mail address:

Volunteer Comments.