SPCA Windhoek PetPair Adopter Assessment Form

SPCA Adopter Assessment Form

This questionnaire is designed to help determine which type of companion animal (dog or cat, and their temperament/needs) might be the best match for an adopter. For each item, choose the option that best fits you.
Name of Adopter*
Email*
A. Living Situation & Environment
1. Describe your current housing?*

House with yardTownhouse with small yardApartmentOther
2. Do you have a securely fenced yard (secure apartment)?*

YesNo
3. How many hours per day will the animal be alone?*

0-5 hours6-12hours13+ hours
4. Do you have other pets currently?*

No other petsOther pets that are calm and well-socialisedMultiple pets or previous challenging experiences
5. Do you have children or frequent visitors?*

Yes, kids and frequent visitors, lively environmentNo, only adults and quiet environment
B. Livestyle & Activity Level
6. How would you rate your own activity level?*

LowModerateHigh
7. Do you enjoy outdoor activities or indoor?*

Mostly outdoorMostly indoor
8. How many hours per day would you like to devote to training and enrichment?*

Less than 12-3 hoursNone
9. Are you comfortable with managing high-energy breeds or one with special needs?*

YesNoMaybe
C. Experience & Handling

10. Do you have previous experience with pets, special breeds or needs?*

Rows	Experienced	Not Experienced
Dogs
Cats
Huskey, Rottweiler, German Shepherd, Pitbull, Boerbul
Animals with disabilities, daily medical needs

11. On a scale of 1-5, how comfortable are you to regularly groom, brush, trim nails of your animal?*

0

1

2

3

0 is Not at all, 3 is Very
12. Do you or anyone in your household have any physical limitations that could affect handling or carrying a pet? Please describe
D. Adoption Goals & Preferences
13. What are your reasons for adopting?*

CompanionProtectionTherapyFamily pet
14. Do you have a preferred age, size, temperament?*

NoYes
14.1. If yes, please describe
15. Are you open to adopting a bonded pair or special needs animal?*

YesNoMaybe
Calculation
Should be Empty:

SPCA Adopter Assessment Form