Dog Adoption Questionnaire
Thank you for taking the time to answer our questions. We hope you will understand that the purpose of this questionnaire is to help us successfully match our adoptable dogs with families whose lifestyles are compatible with the dogs' needs. Please feel free to email us with any details you think are significant, in addition to what you relate in this form.
Once we have a chance to review your responses, we will contact you. If you and the pet you are interested in appear to be a good match, we will arrange for a meet up. If all goes well, you can expect us to make a visit to your home before we finalize an adoption. We do this to help you, by identifying any potential hazards or breaches in your fencing that might pose a risk for your new pet, and that the pet you are interested in is not likely to disrupt your haven.
Thank you for your understanding and patience with our process. We become quite attached to each of our rescued pets, and want to be sure that they endear themselves to you just as much as they have to us.
Dog you are interested in. *
Do you have experience training a puppy, or adult dog?
If not, do you intend to take training classes with your new dog?
Please list all the members of your household. *
Gender and age.
Have you ever re-homed or relinquished a pet to a shelter? *
Please explain circumstances
Please list all pets who currently reside in your household. *
Species, Breed, Sex, Spayed/Neutered, Age, Date of last vaccines, Brand of Flea and Heartworm prevention.
What kind of home do you live in? *
Ple.ase check all that apply
Required
Please describe how your yard is contained. Is it completely fenced? If so what is the fence made of, and how tall is it at its lowest point? Do you have locking gates?
Please tell us why you want to adopt a dog from us, and what traits you seek in a dog. *
Do you seek companionship, protection, loyalty, hunting partner, exercise partner, cuddle buddy, companion for other pet, etc.
Where will your new dog spend daytime, night-time, sleep? *
Who is your current veterinarian? When did you last take your pets to see them? *
Name, Address, Phone Number
Your Name, Address, Phone Number, and Email Address *
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