Pre-Adoption Questionnaire Dog/Puppy

An application is required in order to meet our adoptable pets, but it does not guarantee approval to adopt. HSEC is not able to hold specific animals and we can not promise you will be able to adopt the animal you apply for. Our goal is to make the best forever matches, and we reserve the right to decline any application and/or suggest a dog or cat that we believe may be a better fit your household.

All HSEC dogs are spayed/neutered, microchipped, up to date on vaccines, dewormed, and on flea and heartworm prevention before leaving our facility. The dog adoption fee is $200 and is not refundable. All dogs must leave with a leash and collar. Adopters may bring their own or purchase one at our ReTail store.

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Email *
Animal(s) you are interested in meeting.
Why are you most interested in this animal? *
Where did you find out about this animal? *
Your Full Name: *
Full Address including city and zip (Must be where the pet will reside) *
Phone number *
Email *
Have you ever been charged with a violent crime or animal abuse/neglect? *
Required
Your Occupation and Employers Name: *
If not employed, how will you financially support this pet? *
Are you a college student? *
 If yes, how will you care for your pet when on breaks or after graduation? *
Your Age MUST LIST (If you are under 21, please also provide your guardian's name and phone number): *
Do you live with: *
Required
How many people live with you and what are their ages? *
Do all members of your household know you plan on adopting? *
Does anyone residing in your household have pet allergies? If yes, please explain. *
Do you rent or own the property? *
If you own your property, please provide your homeowner's insurance company and phone number: *
If you rent, please provide your landlord's name or the name of the apartment complex and a phone #: *
Type of residence: *
How many pets are you allowed to have in your home? *
Are there any size, weight, or breed restrictions? If yes, please specify. *
What are your plans if you have to move? *
If you go away for a few days, or on vacation, who will take care of this pet? *
What will your pet's primary living situation be? *
Required
How many hours a day will the dog be alone on a typical day? *
When your dog is home alone, where will they be? *
How will you exercise the dog? (check all that apply): *
Required
What is your yard size? *
If your yard is fenced does it enclose the yard? If yes, please specify the height and type of fence?
Do you or anyone you live with currently have any other pets? *
Please list all pets currently living in your home and all pets owned by you in the last 5 years (Name, Species, Breed, Sex, Age, Spay/​Neutered?, Reason you no longer have this pet if applicable)

 *
What is the name and phone number of the vet the above pets see or previously saw and whose name are they under? *
Are you looking for a laidback pet? *
Required
Are you looking for a playful/energetic pet? *
Required
My dog needs to be good with *
Required
Are you prepared and willing to provide training for problem behaviors (jumping, digging, housebreaking)?
How much do you expect to pay yearly to care for this pet for vet visits, food, general care, etc? (please give dollar amount) *
Are you prepared to handle an unexpected emergency vet bill?
Are you interested in adopting a special needs (behavioral of medical) animal?
What bad habits would you find hard to tolerate?
What personality traits do you value most in a pet? *
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