Questionnaire for Adopting Pets
The purpose of this form is to provide the necessary information to begin the adoption process with Stevens Community Humane Society (SCHS)
Email address *
Name *
Your answer
Phone Number *
Your answer
Email
Your answer
Name or description of the pet you are Interested in adopting
Your answer
Why are you interested in adopting a pet from the Humane Society? *
Your answer
Will this be your first pet? (cat/dog) *
Do you (or members of your household have any pet allergies?
Do you have other pets? What kind? *
Your answer
How much time will you dedicate to caring for your pet? (hrs/week) *
Your answer
Will you be able to provide proper veterinary care (e.g. vaccinations, spay/neuter, etc.) for this animal? *
Do you rent or own your home? *
(For renters) Do you have the permission of your landlord to adopt an animal? (Permission will be determined through direct contact with landlord or by a copy of a lease that indicates that pets are allowed)
How long do you anticipate living at your current residence? *
Your answer
Will this pet be in contact with any individuals who may have compromised immune systems? *
Do you have any children? What are their ages? *
Your answer
For dogs) Will this dog be inside or outside? If outside, do you have a fenced yard or a kennel?
Your answer
For cats) Will this cat be allowed outside? Outdoor cats must be up to date on vaccinations, be spayed or neutered, and should not be declawed
Your answer
Do you have any specific concerns or questions about adopting a pet? *
Your answer
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