Dog Adoption Questionnaire

Dog Adoption Questionnaire
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Name of dog you are enquiring about?*
Have you had dogs before? If so, what breed?*
Do you have any animals at the moment? If so, what animals and how many? Have they ever lived with another dog? What are their ages, sex and behaviour?*
If so, are they desexed and vaccinated?

Yes, Desexed and VaccinatedDesexed OnlyVaccinated OnlyNeitherOther
If not, please explain why they are not desexed or vaccinated.
Do your current animals have council registration?

YesNo
Council?*
Have you had any experience with this breed of dog, or researched this dog breed? *
Have you had any experience with dog training?*

YesNo
If yes, indicate what type: (Self Training,Training Schools, Socialisation, Other)
Are you interested in going to training with this dog?*

YesNo
What type of housing do you currently have?*

Flat/ApartmentHouseRural PropertyTownhouseOther
Are you in a rental property?*

YesNo
If yes, do you have landlord approval?*

YesNo
Are you an international student or living in Australia temporarily?*

NoYes
If yes, please explain. What will happen with your dog if you need to return home? Have you considered fostering a dog instead?
What food will you be feeding your dog? ie, brand, type, dry, wet, raw, etc*
How big is the yard?(Small, Courtyard,Medium, Large, Acreage)*
What is the backyard like? Please describe. (eg: Fencing, Grass, Concrete, Shelter, Plants,Secure?)*
Will the dog be an inside or outside dog?*

InsideOutsideBoth
Where will the dog sleep?*

InsideOutside
Where will the dog sleep? Please provided details, ie, inside/outside, laundry, kennel, bedroom, spare room, etc:*
Where will the dog be kept whilst you are out?*
What are your normal working hours/hours out of the house?*
How many hours will the dog be left alone for?*
How often will the dog be walked?*

Twice DailyOnce DailyWeeklyOther
How long will the walks last?*
Who else lives in the house? (Children, Other Adults, Elderly, Disabled/Impared) *
Ages of Children?*

0-5 Years5-10 Years10-18 Years18 + YearsNo Children
Do yo u go away regularly on work functions or holidays? Who will look after the dog whilst you are away?*
Have you ever surrendered an animal before? If so, what was the reason?*
Under what circumstances, might you return your new dog to Fin, Furred N Feathered? (Medical or behavioural issues, cost, time, etc) *
Are you fully aware of all the responsibilities and financial requirements regarding ownership of this dog? Please explain.*
Other notes to consider:*
Photo/s of backyard, property and house:*

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Anything else you would like to upload? (ie: landlord approval, references, etc)

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Please consider a donation to Fin, Furred N Feathered Animal Rescue!

Any donation you make, goes to helping us continue saving lives of animals in need!

Your donation goes towards medical or emergency bills, vet work to get them ready for adoption (desexing, microchipping, vaccinations, dentals, etc), training, supplies that we need to buy, if not donated (food, litter, crates, flea and worm products, etc).

If you are unable to make a financial donation, we also greatly welcome donations of food, litter, flea/worm products, toys, leads/collars, dog crates, cat carriers, etc.
Please let our team know if you would like to organise a drop off of goodies for our rescued babies!
Donation Amount:

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