Pre-adoption Questionnaire For DogsPre-adoption Questionnaire For Dogs Your Name * Name of Dog * Address * Your Date of Birth * Contact Number * Email * Section 1 - Your Home & Family Do you rent or own your home? * RentOwn Rates Notice or Rental Agreement * Drop a file here or click to upload Choose FileMaximum file size: 104.86MBIf you own please provide a copy of a rates notice in your name. If renting, a copy of your rental agreement stating you are allowed to have a dog. Who lives with you and what are their ages? * Have you ever owned a dog before? * Yes No If yes, please detail your previous dog/s, how long they were in your care and what happened to them * Have you ever returned a pet to a breeder, given a pet away or surrendered a pet to a shelter Yes No Do you have any other pets? Please list them * If you already own another dog you will be asked to bring him/her in for a "meet & greet" with the dog you want to adopt. Is that OK? If not, please explain why Does everyone in your household agree to give a YAPS dog a home? * Yes No What size is your block of land? * Is it fully fenced? * What are your fences made of? How high are they? * Are your fences in good condition with no gaps and breaks? * Will the dog live indoors or outdoors, or a combination of both? * Where will the dog sleep? * Some of our dogs may require a house check prior to adoption? Is that OK with you? Yes NoSection 2 - Your responsibilities as a pet owner How long will the dog be alone each day? * Who in your family will be the primary care giver? * How much time will you be able to spend with the dog each day? * Please describe what forms of exercise/activity you plan to do with the dog on a daily basis A large percentage of our dogs need training. Would you take the dog to training/obedience classes if a staff member recommends it? If no, why not? * What is the age and breed/s of the dog you are hoping to adopt? * Some breeds of dogs have particular characteristics. Please describe your knowledge of the characteristic traits of the breed/s you wish to adopt. * Owning a dog is a big responsibility which will require a financial commitment and a time commitment by you and your family. Considering future scenarios in which you might have to relocate, or if the dog was injured or became unwell, please detail how you would continue to meet the dog's needs. * Is there any relevant information you would like us to know? reCAPTCHA Submit If you are human, leave this field blank.
