Dog Adoption Questionnaire
Dog Adoption Questionnaire
Our Adoption Process: 1. Fill out questionnaire as completely and honestly as possible. There are no wrong answers! 2. Have a conversation with an Adoption Coordinator 3. A volunteer will visit your home while we speak with your landlord and vet(s) (if applicable)
Tell us about yourself ... (feel free to continue on the back!)
Name
E-mail
Street Address
City
Home Phone
Cell Phone
State
Do you have a yard?
Is it fenced?
Landlord name and contact information (if applicable); Do you have any breed/weight/other pet restrictions?
Please provide your age as well as the relationships and ages of all people living in your home.
Housing Type: (if apartment note number)
Zip
Work Phone Would you or have you used an electric fence or doggy door?
Employer/School
What is your daily schedule? How long are you away from home on any given day? How long will your dog be home alone?
Is there a particular Lucky Dog you are interested in? Please provide name or tell us about your "dream" dog.
What age dog?
Senior (over 9 yrs) Adult (3-8 yrs)
Juvenile (7 months -3 yrs)
Puppy (6 months & under)
Do you have a sex preference? Male
Female
Do you have a breed preference or are there any special considerations (i.e.) allergies that we should be aware of?
Do you have a size preference?
Small (under 25 lbs) Medium (25-50 lbs
Large (over 50 lbs)
What characteristics are you looking for in a dog? What common dog/puppy behaviors are you prepared to deal with?
What behaviors concern you the most? Would these cause you to return your dog to Lucky Dog? Have you returned or rehomed a pet in the past? If so, please provide further detail.
What exercise plans do you have for your dog? Do you plan on hiring a dog walker? Going to the dog park? Enrolling in obedience school?
Please provide the name and age of all current pets.
If you have had previous pets, please provide their names and what happened to them. If you have rehomed/returned a pet to another rescue or shelter, please provide both the pet and the organization name.
Please provide the name and phone number of the vet you use for your current pets and/or the name/phone number of the vet you used for previous pets. By providing this information, you are authorizing us to contact your vet and obtain vetting information about your pets.
Lucky Dog's rescued pups MUST be indoor animals only and must be spayed/neutered. Lucky Dog must be contacted if an adoption does not work out for any reason.
Fax Completed Questionnaire to 202-380-9077 or email to info@
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