NorCal GSP Rescue Adoption Questionnaire
Please provide the following information:
Name:
Your answer
Street Address
Your answer
Address (cont.)
Your answer
City
California Only
Your answer
Zipcode
Your answer
Home Phone
Your answer
Work Phone
Your answer
Cell Phone
Your answer
Fax
Your answer
Email
Your answer
What available dogs are you interested in?
If any in particular
Your answer
What is your time frame to adopt?
Your answer
Reason for wanting a GSP:
Your answer
Have you reviewed our "How to Adopt" tab?
Including "Is a GSP Right for You?" and our Adoption Process
Are you aware that pointing breeds can be prey driven with cats, rodents, birds and smaller dogs?
Gender preferred
Why the above gender choice?
Your answer
Preference in age? Why?
Your answer
Color preference:
Your answer
Select any of the following options that apply:
Other, please explain:
Your answer
What traits are you looking for in a dog?
Check all that apply.
If we do not currently have a GSP that matches your requirements, would you be interested in more information about our fostering program?
How will you train your GSP?
Please list the type of collar or harness that you plan to use, and also include the name of any trainers that you intend to worth with if known.
Your answer
What behavior can you work with? Please be specific i/e potty training, chewing, leash walking, etc.
Your answer
How long do you think it will take for a new dog to adjust to your home?
Your answer
Have you ever owned a GSP?
Do you still own a GSP?
If still owned, what gender, age?
Your answer
If not, what happened to it?
Your answer
If it passed on, how and at what age?
Your answer
Other breeds previously or currently owned:
Your answer
If no longer owned, what happened?
Your answer
If still owned, what gender, age?
Your answer
Other current pets (please include birds, gerbils, rabbits, cats, etc.):
Your answer
Are current pets spayed/neutered?
If not spayed/neutered, why?
Your answer
Have you ever given up an animal?
If so, please explain.
Your answer
How far would you travel for a dog?
Your answer
Number of adults living in the home:
Your answer
Ages of adults:
Your answer
Do you have any children?
Your answer
Ages of children:
Unfortunately, we cannot adopt to families with children under 6 years old (unless otherwise indicated).
Your answer
Are you planning to have children in the future?
If yes, how may this affect the dog's future?
Your answer
Is acquiring a GSP a family decision (including roommates, future spouses, etc.)?
Your answer
Your occupation:
Your answer
Typical daily/weekly schedule:
Your answer
Is someone home during the day?
How much time would the dog be left alone daily?
Your answer
If no one is home on a regular basis, will someone take time off when the dog first arrives?
Your answer
If no one is home on a regular basis, what arrangements will be made for dog?
Your answer
Where will the dog spend most of the day?
Your answer
Where will the dog sleep at night?
Your answer
Do you have a yard?
Size:
Your answer
Does the yard have a fence?
Fence type?
Your answer
Fence height?
Your answer
Are you willing to install actual fencing or build a safe run to protect dog?
Do you have a pool?
Describe your plan for the daily exercise routine of your GSP.
Your answer
Do you have a crate?
If not, are you willing to purchase a crate?
Are you willing to use a crate?
If no, please explain:
Your answer
Current or prior veterinarian for reference:
Current address and phone number
Your answer
Will you deal with health issues if the dog needs special care?
What do you consider to be the limits for veterinary care of a pet?
Your answer
Have you ever dealt with any serious medical issues with a current or past pet? If yes, please explain how you approached the decision about the pet's care.
Your answer
Do you intend to be a single or multiple dog family?
Your answer
Do you own or rent the home where you live?
What will you do if your new dog is not working out?
Your answer
If you rent, please provide the name and phone number of your landlord so that we may confirm that you are permitted to have a dog of this size:
Your answer
GSP Rescue will ask to conduct a home check prior to adoption. Is this acceptable to you?
Have you applied with other rescues/shelters in searching for a dog? If so, who?
Your answer
Please feel free to add any additional comments that you think may help us to ensure that one of our dogs may be right for you:
Your answer
How did you hear about us?
Signature (type in):
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Date:
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