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)

Is your dog tattooed, micro-chipped or neither?
Tattooed Microchipped Neither

Are you and your dog currently enrolled in an 6-8 Week obedience course?
Note: If you are currently enrolled, please remember to mail a copy of your certificate of completion to PO Box 510, Portsmouth, RI 02871 as specified on your contract.

Yes, we are currently enrolled.
Where are you attending?

No, we are not currently enrolled.

If you are not currently enrolled, please tell us when you plan to enroll:

Have you received your dog's medical paperwork from NERR&R? Yes No

Have you licensed your dog with your city/town yet? Yes No
Dog's license number and the city/town it's licensed with:

Note: As part of our adoption contract you are required to send in a copy of your dog's license to PO Box 510, Portsmouth, RI 02871.

Have you made an appointment with your vet to get a prescription of heartguard?
Yes No

Date of last appointment and Vet's name and phone number:

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 n No

Do you read our newsletter? Yes No

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

Please feel free to make additional comments.

Would they like the Adoptions Follow-Up Coordinator or 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.