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Pre-Adoption Questionnaire
PLEASE READ. The adoption of an animal should not be impulsive, but rather a carefully thought out decision, which will ensure a loving, lasting relationship. Before you adopt an animal, remember that you are applying for a lifetime companion, for whom you will be responsible.
Name(s) of animal(s) who you are interested in adopting
*
Your name
*
Are you 18 years or over?
*
Yes
No
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
*
Work Phone
Email
*
Are you willing to make the investment in both time and finances to properly care for and manage your new pet?
*
Yes
No
Do you:
*
Own
Rent your residence
If you rent, can you show proof that the landlord allows animals?
Yes
No
Do you live in a:
*
House
Condo/Townhouse
Apartment
Is there a fenced back yard?
*
Yes
No
How many adults are in your household?
*
How many children?
*
Ages
1-5
6-9
10-13
14-18
Do ALL the members of your household want a new pet?
*
Yes
No
If not, please explain:
Over the years, how many dogs and cats has your current family had?
*
Have you relinquished or given away any pets before?
*
Yes
No
Is so, where did you take it?
Please list current pets residing at your home (including roommates' pets also). Include pets' breed, age, sex, spay/neuter status, number of years owned, and if they live indoors or outdoors.
What would you do if your new pet urinated on your rug?
*
What would you do with your pet if you suddenly had to move?
*
What would you do if your pet got injured or sick and the estimate to treat him was over $1,000?
*
What is your feeling about spaying/neutering your animal(s)?
*
What time do the working people leave in the morning?
*
What time do they arrive home?
*
In a 24-hour day, how long would the pet be left alone at a given time?
*
Where will your new pet be kept when you are home?
*
Where will your new pet be kept when you are NOT at home?
*
In a 24-hour day, how long would the animal be indoors?
*
When outdoors, how your pet would be confined (examples might include zip line, fence, etc.)
When outdoors, what type of shelter would be provided?
*
When outdoors what type of shade would be provided?
*
Are you looking for (choose one)
*
an indoor pet
an indoor/outdoor pet
an outdoor pet
What personality traits are important to you?
*
What appearance characteristics are important to you?
*
I want this animal for (please choose all that apply)
Myself
Breeding
My Child
Family Pet
Companion
Watch Dog
Do you already have a veterinarian? If yes, Name:
*
Do you plan to get pet insurance?
*
Yes
No
Why or why not?
*
What feeding schedule will you use?
*
Will you feed dry or canned/ wet food?
*
Where will your new animal sleep?
*
What arrangements would you make for your new animal if you went on a trip/vacation?
*
If something was to happen to you who would be the God Parent to your new pet?
*
If something was to happen to you who would be the God Parent to your new pet?
Name
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Relationship
*
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