Do you rent or own? RentOwn
If renting, do you currently have rental permission to own a dog? YesNoN/A
If renting, what is the end date of your current lease?
Do you have any upcoming travel plans in the near future? YesNo
Are you currently working? YesNo
Work Hours: Full timePart timeCasualOther
If Not Working, I am... N/AUnemployedRetiredOther
Are you a permanent Australian Resident? YesNo
Below, please list the full name and age of every member in the household and describe their relation to you:
Do you have any physical or lifestyle limitations that might affect your ability to safely handle, train or provide the required daily exercise for this dog? YesNo
Have any members of your household experienced animal related allergies? YesNo
If Yes
Do any members of your household have a fear of dogs? YesNo
Do you have any children visiting your home? YesNo
Your type of dwelling: House with a small backyardHouse with a medium backyardHouse with a large backyardUnitRetirement VillageAcreageCaravan ParkOther
If you have a yard: FencedUnfencedPartly Fenced
If Fenced:
If you have a pool: FencedUnfencedNot Applicable (I don’t have a pool)
Do you have any dogs living next door that you know of? YesNo
Have you owned a dog before? YesNo
If Yes:
Do you currently own a dog or is there a dog currently living at your household? YesNo
Describe your current dogs energy levels and play style with other dogs
Does your dog(s) get along with other dogs? YesNo
Do you own any other animals? YesNo
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? YesNo
Is there a particular dog(s) that you would like to meet? YesNo
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? YesNo
Do you have any ‘deal breakers’ (dog reactivity/digging/etc)? YesNo
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 HouseOutsideBoth
Where will the dog be sleeping at night? Inside the HouseOutside
Approximately how many hours a day will your dog be left home alone?
During this alone time, will your dog be: Inside the HouseOutsideBoth
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/businessI travel occasionally for a holidayI 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? YesNo
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 YesNo
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? YesNo
