Adopt-A-Dog Adoption Questionnaire
Thank you for your interest in adopting from our shelter! Adopt-A-Dog is a limited admission animal shelter located in Armonk, NY and serves the Northeast.
The community response during this pandemic has been nothing short of amazing. We are asking interested adopters to please understand we have a longer than normal response time currently so we ask for your continued patience. We look forward to helping you find your perfect match!
Please note, that we do ask interested adopters be able to travel to the shelter to meet the dog(s) they are interested in adopting.
Any questions please email us at
adoptions@adoptadog.org
.
* Required
Your Information
Please provide us with a little information about your home situation!
First Name
*
Your answer
Last Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Contact Number
*
Your answer
Alternate Contact Number
Your answer
Email Address
*
Your answer
Are You Over The Age of 21?
*
YES
NO
Which dog(s) are you interested in meeting? You may also leave this blank if you are unsure or please write in the breed you are searching for.
Your answer
What kind of dog are you looking to adopt?
We will do our best to match you with the right fit!
What age range(s) are you looking to adopt?
*
Please check all that would appeal to you.
Baby: 0-6 Months
Young: 6 Months - 2 Years
Adult: 2 - 7 Years
Senior: 8+ Years
Required
What size dog are you looking to adopt?
*
Please check all that would appeal to you.
Extra Small (0 - 10 lbs)
Small (10 - 30 lbs)
Medium (30 - 50 lbs)
Large (50 - 75 lbs)
Extra Large (75 lbs - Up)
Required
Which personality traits are you looking for in your new dog?
*
Please check all that apply.
People Friendly
Kid Friendly
Dog Friendly
Cat Friendly
Protective
Playful
Intelligent
Energetic
Housebroken
Special Needs (Medical)
Special Needs (Emotional)
Other:
Required
What other qualities are you looking for in a dog that are not listed above?
Your answer
Have you ever owned a dog before? If yes, please explain. If no, indicate NONE.
*
Your answer
Your Household
Please provide us a little information about your household so we can try to match you with the right fit!
Your Residence – Do you:
*
Own Your Home
Rent
Live With Parents
Other
Is Your Residence a:
*
House
Apartment
Condo
Dorm
Other
If renting or living in a development, are there any weight or breed restrictions? If so, what are they?
Your answer
If renting, please include your landlord's name and contact information
Your answer
Please list all members of your household. (Please indicate ages of children)
*
Your answer
Do any of your family members have allergies toward animals? If yes, please explain:
*
Your answer
Have you considered what circumstances would lead you to return an adopted pet?
*
Your answer
Please list all current pets in your household. Please include breed, age, gender, and size. If you are currently without a pet, indicate NONE
*
Your answer
Are all pets listed in the last question spayed or neutered? If you indicated No, please explain:
*
Your answer
Do you currently have a veterinarian? If yes, indicate your name and contact number. If no, indicate NONE.
*
Your answer
Your New Dog
What kind of mental and physical exercise are you interested in doing with your new dog? i.e., running, agility or looking for more of a couch potato.
*
Your answer
Would you be willing to work with a trainer if behavioral problems arise?
*
If you already have a dog trainer you use, please put their information in the "Other" section
Yes
No
Other:
What experience have you had training a dog?
*
Please explain the style of training you are most comfortable using. (ex. clicker, alpha dog, prong collar)
Your answer
Other Information
Please indicate two personal references, with the best phone number (include area code) which we may reach. Don't use a direct family member or your Vet as a personal reference.
*
Your answer
Is there anything else you would like to share with us about your future dog's family and life with you?
Your answer
Where did you hear about Adopt-A-Dog?
*
Adopt-A-Dog Website/Facebook/Instagram
Petfinder.com
Rescueme.org
Adopt-a-pet.com
Google or other online search engines.
Attended an event. (Puttin' on the Dog, etc.)
In an advertisement.
Referred by a friend.
Other:
How would you prefer to be contacted to set up an adoption appointment to meet the dog(s) you are interested in?
*
Phone Number
Alternate Phone Number
Email
Other:
Would you like to be added to the Adopt-A-Dog mailing list to receive updates about the shelter typically once a month?
Yes
No
Clear selection
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