Pre adoption questionnaire

Pre adoption questionnaire

You must fill out this form in its entirety if you are interested in adopting the listed dog. We will review applications within two working days and if your home is a good fit, we will notify you. By submitting this form, you give us permission to contact you, your vet and the references listed on this application.
Name

First NameLast Name
Where did you hear about the listed dog?
Address

Address

Street Address Line 2

City/State/ZipState / Province

Postal / Zip Code
Phone
Format: (000) 000-0000.
Email
example@example.com
Type of residence

Other
Residence details

Other
Is your yard fully fenced?
Do you have a pool?
Do you have a doggy door?
What is your occupation?
Employment Status

Other
Do you work from home?
List all of the residents in your household and include their name, age and relationship to you.
List all the pets you currently own, including name, breed, gender, age and how long you have had them.
Do all the family members in your house want a dog?
Is anyone in the house allergic to dogs?
Are your pets up to date on their vaccines?
Are your pets spayed/ neutered?
Are your pets on heart worm preventative, flea and tick, and dewormer?
Have you had pets before? If so, explain (e.g. how long you had them, when you had them, type of pet, breed, why you gave them up etc).
Have you ever surrendered a dog and for what reason?
How often do you plan to exercise your dog and how will you exercise your dog?
Where will the dog sleep?
Will the dog be kept indoors or outdoors?
Where will the dog be when alone?
How many hours will the dog be alone every day?
What are your plans for training?
What are you looking for in a dog?
What qualities would you like in a dog?
What qualities would you dislike in a dog / not be able to train them on?
Do you have a vet?
If you have a vet, what is the name of the vet?
Are you capable of providing healthcare and looking after this dog for the next 10 to 15 years?
What will you do with this dog if you move?
Are you familiar with crate training?
Do you own a crate?
Will you crate your dog?
How will you groom/ bathe your dog?
Have you looked into purchasing pet insurance and will you be purchasing pet insurance?

Other
What is your $ limit for annual vet visits?
Type approximate $ limit
Reference 1 name

First NameLast Name
Reference 1 number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 1 relationship to you
Reference 2 name

First NameLast Name
Reference 2 number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 relationship to you
Should be Empty: