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Printable Application Questionnaire To Adopt a Dog or Puppy Print out this version and mail/deliver to: |
Please answer the following questions so we can learn more about you and your household. It is a long questionnaire, but as we usually receive many applications for our dogs, it will help us find the best homes for them and/or find the dog best suited to you.
1. Dog Information
Are you interested in a specific dog? If yes, what is its name?
If not, please describe the kind of dog you'd like (e.g. breed(s), colour, sex, size, character, temperament, previous training, housetrained, good with children/cats, etc.) so we can help you find a good match.
Why do you want a dog?
2. About Applicant(s)
Your name:
Address:
Mailing address if different than above:
Postal Code:
Phone number (home):
Phone number (work):
E-mail address:
Do you have children?
If so, please list their ages:
Are there other adults living in the home?
Does anyone in your household suffer from allergies?
Who will be responsible for the care and cost of the dog?
3. Living Accommodations
I live in a (house, duplex, condo, townhouse, apartment, mobile home):
Do you rent or own?
Do you have strata bylaws which determine height, weight, breed, etc. of a dog?
If you rent, are you allowed to have pets?
May we contact your landlord to verify this information?
If so, please give landperson's name and phone number.
Are there any bylaws in your community restricting the breeds or number of pets you can own?
(It is a good idea to phone your city hall/municipal hall/animal control to find out).
Does your home have a securely fenced yard?
If so, what height and kind of fence is it?
How will you exercise your dog?
Where will your dog sleep?
Where will your dog stay while you are out? (e.g.: laundry room, back yard, etc.)
Approximately how many hours a day will your dog be alone?
4. Other pets in the household
Do you presently have another dog(s)?
If so, please list name, breed, age, sex, and if intact or neutered/spayed.
Do you presently have any other pets? If so, please list them.
If you have had dogs or other pets before, please tell us a bit about them, how long you had each pet, and what happened to them.
Did you ever surrender a pet to a shelter/rescue?
If so, please describe the circumstances.
Have you ever had a pet euthanised (put to sleep)?
If yes, please describe the circumstances.
5. Other information
Do you have a vet, or a vet in mind that you will use?
If so, please give vet’s &/or clinic’s name.
If you go away, who will take care of your dog?
Do you have any experience with dog obedience training? If so, please briefly explain, how you train, with whom you took classes, etc.
If you have had experience with disabled, blind, or deaf dogs, or dogs with problem behaviours, please discuss that briefly here.
Would you be willing to attend obedience classes?
How would you deal with the following scenarios? (There are many different answers, and your answers don't have to be long).
a) You find your dog has peed in your house.
b) You are playing with your dog and it bites your hand.
c) Your dog steals food off of the counter.
d) Your dog not only chews up your shoe, but growls at you when you
try to take it away.
e) A friend brings his very friendly dog over to your house, and
instead of playing, your dog growls and lunges at it.
Please add any additional comments about the home you would provide for your dog:
Since we want our dogs to have “forever” homes, prospective owners “try out” adult dogs on a “foster-to-adopt.” If the dog does not work out, it will be returned to us for placement in another home.
Everyone has concerns about adopting a pet.
If you have any concerns you would like to share or ask about, please list them here (e.g.: Will my children be allergic?
Will my other dog accept another dog? Will my cranky neighbours be bothered by barking?
Will my relatives not allow a dog of “that” breed on their property?
Will it not be the cuddly type of dog I want? etc.).
IMPORTANT: By submitting this application, you certify that all of the above information is true, and you authorize the release/disclosure of any records relating to the above information, such as contacting a vet or landlord, etc.
Completing this application does not guarantee that you will be able to adopt a dog.
And finally, thank you for your interest in our foster pets!!
Faunadael Pet Rescue
faunadael@shaw.ca
(250) 748-3451
Duncan, Vancouver Island, B.C.
Please contact us for our fax number or mailing address.