Fillable Forte Animal Rescue Dog Adoption Questionnaire (Page 3 of 3) in pdf

(Cont’d)

If the dog will be outside at all, what outside space is available for the dog:

 Yard •  Patio •  Run •  Balcony •  Unfenced yard •  Other: ___________________________________

Are the gates:  Latched •  Padlocked •  Other (explain): _________________________________________

How do you plan to handle dog’s exercise needs? ___________________________________________________

_______________________________________________________________________________________

Do you feel obedience training makes a dog a better companion?  Yes •  No

If necessary, would you be willing to attend obedience classes at your own expense?  Yes •  No

Do you travel a great deal?  Yes •  No

How often?______________________________

How long at a time?_____________________________

When you do travel, how do you intend to provide for the dog while you are gone?__________________________

_______________________________________________________________________________________

What provisions would be made for the dog if you had to move to:

Locally? ________________________________

Out of state? __________________________________

To a place where no pets are allowed? ________________________________________________________

Under what circumstances would you not keep the dog?

 Divorce •  Illness in family •  Moving •  New baby •  New job •  Housetraining problem •

 Chewing •  Barking •  Digging •  Allergy •  Shedding too much •  Dog grew too big •

 Dog became ill •  Kids ignore the dog •  Pets didn’t get along •  Not obedient enough •

 Other (explain)_______________________________________ •  Would not give up for any of the above

What would you do if the dog grew to be bigger than you expected?

 Return the dog to rescue •  Take the dog to shelter •  Keep the dog but keep him outside

 Other (explain)______________________________________________________________ •  Nothing

If the dog becomes destructive at your home, what would you do? ______________________________________

_______________________________________________________________________________________

If the dog has “accidents” at your home, what would you do? __________________________________________

_______________________________________________________________________________________

If the dog shows Separation Anxiety, what would you do? _____________________________________________

_______________________________________________________________________________________

If the dog becomes aggressive to people and/or dogs, what would you do?

• People Aggression: ________________________________________________________________________

• Dog Aggression: __________________________________________________________________________

If the dog becomes ill or injured, are you financially prepared to provide the medical care?  Yes •  No

If yes, is there a maximum amount you would spend for your dog’s medical needs?

 Yes $ ____________ : Reason___________________________________________________________

 No: State provision ___________________________________________________________________

The dog may live 15+ years, what would you do with your dog if you could no longer care for the dog? ___________

_______________________________________________________________________________________

Is there anything else you would like to tell us about yourself? _____________________________________________

__________________________________________________________________________________________

Questionnaire Information: All of the information I have provided in this Questionnaire is true and correct. If any of the

information changes, I will advise you promptly.

Signature: __________________________________________________

Date: ________________________

Print Name: ________________________________________________

Page 3 of 3

Forte Animal Rescue Dog Adoption Questionnaire Page 3

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