Lola's Trust Adoption Questionnaire
Which member of the Lola's Trust team sent you this link?
*
First name is fine
Have you seen a dog on our listings that you’re interested in?
Please put the dogs name here
Name
*
First Name
Last Name
Phone Number
*
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you contacted us at Lola's Trust previously?
Yes
No
How old are you?
Under 18
18 - 25
25 - 45
45 or more
Do you have any cats?
Please Select
Yes
No
Do you have any other dogs?
Please Select
Yes
No
How many children live in the property?
1 Child
2 Children
3 Children
4 Children
No Children
What are the ages of your children?
Please add any information about anybody else that lives in the property or often stays.
Is your property owner or rented?
Please Select
Owned
Rented
Other
If rented, do you have written permission from your landlord / housing association to have pets?
Please Select
NA Home is owned
Yes
No
Is anyone in the household pregnant?
Yes
No
Other
Is anyone in the household allergic to dogs?
Yes
No
Other
Does anyone in the household have any health issues?
Yes
No
Other
Does anyone in the household have any disabilities?
Yes
No
Other
Do you have an enclosed garden?
Please Select
Yes Garden and its enclosed
Yes Garden but not enclosed
No Garden
Other
Can you think of any problems that could arise when bringing a new dog into the household?
Do you have experience with dogs?
Yes
No
Other
How long would the dog be left alone for?
Please Select
1-2 Hours
2-3 Hours
3-4 Hours
4-5 Hours
Never
How often would this be?
Please Select
Daily
5 times a week
4 times a week
3 times a week
2 times a week
1 time per week
Never
Can you financially afford to look after a dog?
Yes
No
Other
How would you describe your home setting?
Please Select
Busy
Noisy
Calm
Will all members of the house be present for the home check?
Yes
No
Are all members of the household in agreement to adopting the dog?
Yes
No
Other
Have you applied to another rescue? If so, please provide details.
Have arrangements been made for the settling in period for the dog?
It can take a long time for a dog to settle into a new home, is this something that concerns you?
When will you be looking to rehome a dog? Please add any preferences on breeds or ages here.
When adoption has been finalised we ask for a small donation to the Lola's Trust charity. Is this something that you will be able to do?
Please Select
Yes
No
Small
Undecided
In some instances a small transport fee will be required for longer journeys. Is this something you will be able to do?
Please Select
Yes
No
Other
Would you like to subscribe to Lola's Trust email newsletter for updates, advice and information on the dogs in our care?
Yes, I'd like to subscribe
No, I don't want to subscribe
If you adopt a dog from Lola's Trust, we require regular updates, such photographs, videos and messages. Do you agree to this?
Yes
No
Submit
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