Adoption Questionnaire

 

Please take a few moments to answer these questions to help us facilitate your adoption.

 

Name:                                                                                                    Date:                     

Do you    Own? Rent?   

If you rent, does your lease allow you to have pets?     Yes     No

Do you have a fenced yard?            Yes   No

If not, how do you plan on containing your dog?                                                                                                                                                                                                           

Do you have other pets? Yes     No

If yes, what kind?                                                                                                              

Do you have children?           Yes   No

If yes,  what are their ages?  ________________________________________________

Can you afford to care for a dog now, and for its lifetime?        Yes     No

Are you prepared to deal with the problems a dog can cause (chewing, barking, accidents, damage, etc)?   Yes     No

If you move, what arrangements are you willing to make for your dog?

                                                                                                                                           

If you are in the military, who will care for your dog if you are deployed or relocated?

                                                                                                                                           

Which Vet clinic do you plan to use?                                                                                  

Is there any information about dog care or training that we can share with you?

                                                                                                                                           

What made you decide to adopt a dog or puppy today?                                                           

Breed of Dog/Puppy adopting:                                                       

Do you need information on this breed?   Yes          No

Are you prepared to keep and care for your dog for his/her entire lifetime?  Yes   No

How did you hear about us?                                                                                    

Thank you for considering adopting one of our wonderful rescue dogs.

Reviewed by: __________________           Intake # ___________