Forte Animal Rescue Dog Adoption Questionnaire Page 2
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3YOUR COMPANION ANIMALS
Do you presently have a dog? Yes • No
Have you previously had a dog? Yes • No
If you presently have or had dogs in the past, please complete the charts below. In the column, “what happened,” write:
gave away, sold him/her, took to the pound, abandoned, died, etc. (If the dog died, please state cause of death.)
CURRENT DOG(S)
Name & Breed
Age Sex Altered?
How & Why Obtained?
How Long?
PREVIOUS DOG(S)
Breed
Age Sex Altered? Kept In/Out
What Happened?
What Year?
Have any of your dogs ever had puppies? Yes • No
If Yes, you breed for: Fun • Profit • Show • Accident
Has any member of your family ever experienced animal-related allergies? Yes • No
Have you ever trained a dog in obedience classes? Yes • No
Have you ever trained a dog?: Basic Commands • Herd • Hunt • Guard/Attack • Other _______________
If you have other pets, please complete the following chart:
Species
How many?
Ages
Kept where?
Since what year?
If cat, declawed? If yes why?
Your Family Veterinarian:
Name:_______________________________________ Phone: _____________________________________
YOUR NEW DOG
Who would be responsible for the care of the dog?__________________________________________________
What is your primary reason for adopting a dog?
Companion • Guard dog • Fighting • Hunting • Attack dog • Other
If Companion, whose? You • Spouse • Children • Other pet • Someone else (who?): _______________
Where would the dog sleep? Inside (where? ________________) • Outside (where? ________________)
How many hours per day would the dog be left alone? _______________________________________________
Where would the dog be left when he/she is alone? Indoors • Outdoors
If outdoors: Yard • Patio • Kennel • Garage • Other
If yard: Do you have a doggie door? Yes • No
Do you intend to hire a dog-sitter or take the dog to the daycare center? Yes • No
When you are at home, the dog would be: indoors • outdoors • other (where?) ______________________
Which rooms or areas of the home/yard will be off-limits to the dog?: ____________________________________
Do you allow dogs on furniture? Yes • No • Some (which?) _____________________________________
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