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Adoption Questionnaire
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Adoption Questionnaire
K9 Rescue Group Inc
Adoption Questionnaire
PERSONAL DETAILS
Do you rent or own?
Rent
Own
If renting, do you currently have rental permission to own a dog?
Yes
No
N/A
Are you currently working?
Yes
No
Work Hours:
Full time
Part time
Casual
Other
If Not Working, I am...
N/A
Unemployed
Retired
Other
Are you a permanent Australian Resident?
Yes
No
FAMILY AND LIVING
Below, please list the full name and age of every member in the household and describe their relation to you:
Have any members of your household experienced animal related allergies?
Yes
No
If Yes
Do any members of your household have a fear of dogs?
Yes
No
Do you have any children visiting your home?
Yes
No
If Yes
Your type of dwelling:
House with a small backyard
House with a medium backyard
House with a large backyard
Unit
Retirement Village
Acreage
Caravan Park
Other
If you have a yard:
Fenced
Unfenced
Partly Fenced
If Fenced:
If you have a pool:
Fenced
Unfenced
Not Applicable (I don’t have a pool)
Do you have any dogs living next door that you know of?
Yes
No
CURRENT PETS
Have you owned a dog before?
Yes
No
If Yes:
Do you currently own a dog or is there a dog currently living at your household?
Yes
No
Please list the dog(s) you currently own below (not previous dogs)
First Dog
Second Dog
Does your dog(s) get along with other dogs?
Yes
No
Do you own any other animals?
Yes
No
If yes, please list the species and quantity of each:
What experience have you had with dog training? (dog behaviourist/trainer, classes, in-home, etc)
Have you ever had to surrender a dog?
Yes
No
YOUR NEW DOG
Is there a particular dog(s) that you would like to meet?
Yes
No
If Yes, which Dog Would you Like to Meet?
What kind of dog are you looking for? What is your ‘ideal’ dog? Please give as much detail regarding
size/temperament/energy levels/sociability etc:
Are you wanting a dog that can socialise with other dogs?
Yes
No
Do you have any ‘deal breakers’ (dog reactivity/digging/etc)?
Yes
No
If yes, please explain:
What reason are you looking to adopt a dog? (Myself/Spouse/A gift/Other pet/Children/etc)
Where will your dog be during the day?
Inside the House
Outside
Both
Where will the dog be sleeping at night?
Inside the House
Outside
Approximately how many hours a day will your dog be left home alone?
During this alone time, will your dog be:
Inside the House
Outside
Both
What kind of exercise are you prepared to do with the dog, and how often?
Tick all which apply to you in regard to travel:
I am fly in, fly out on a regular basis for work/business
I travel occasionally for a holiday
I do not travel
When you travel, how do you intend to provide for the dog while you are gone?
Not applicable, as I intend to take my dog with me when I travel
What training are you prepared/expecting to do with your new dog?
Under what circumstances would you not keep your dog?
I cannot see myself giving up my dog for any reason
On a monthly basis, how much do you expect it costs to care for a dog?
If your new dog becomes ill or injured, are you financially prepared to provide medical care?
Yes
No
Are you financially secure to ensure the dog is provided with monthly flea and worming treatment as well as the necessary vaccinations for the rest of their life
Yes
No
Do you have any objections to the staff of K9 Rescue Group (Inc) completing a home visit to inspect the property and ensure it is suitable for a dog?
Yes
No
