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.