Dog/Puppy Questionnaire

Name of Furry Friend

Name of Adopter

Full Address

Contact Information (Home, Cell, Work phone numbers)

Date of Birth

Your profession, employment, or means of financial income:

How many adults live in your home?

How many children live in your home? Ages:

Do you own or rent your home?(required)

Own

Rent

If you rent, would you be willing to provide a copy of your lease/pet addendum?

Yes

What type of home do you live in?

Do you have a fenced in yard? If so, what type? (4' Chain Link, 6' Privacy, etc)

Where will the dog live (inside, outside, both)?

Where will the dog/puppy sleep?

How long will the dog/puppy be home alone on average each day?

Obedience training is a bonding experience for a dog. Would you be willing to take this dog or puppy to obedience training?

Information regarding the pets you have had within the last 5 years (Species, Breed, Sex, Age, Spayed/Neutered, Up-to-date on Vaccinations, currently living with you):

If you have not owned a dog as an adult, have you considered the financial expenses? Such as annual costs for doggie supplies, toys and medical care?

How would you handle behavioral challenges?

Please provide the name, address and phone number of your current veterinarian. If you do not have a current vet, please list previous veterinarian information.

How will you handle housetraining?

What is your opinion on spaying and neutering?

Who will be responsible for the dog's day-to-day care?

Why have you chosen to adopt a pet from a rescue?

Please list why, for any reason, you would consider returning the dog.

Please list at least 2 personal references that we may contact (include name, relation to you, phone number and email). This information will be kept private):

May a volunteer visit your home to check on the dog? (required)

Yes

My signature verifies that all statements given here are complete, accurate and true and that I have answered thoroughly and honestly. I have not misconstrued or answered deceitfully in any way. I also give consent for adoption counselors to contact landlords, associations and veterinarians, and to visit my home in the future for a home check. FYI: Dog care and behavior information is available for all types of issues. Just send us an email.

Heavenly Paws

Dog/Puppy Questionnaire

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Dog/Puppy Questionnaire

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