Dog adoption form

GENERAL INFORMATION

Full name*

Email:*

Phone: *

Address *

LIVING ENVIRONMENT

How many adults live with you?

If applicable, age of children who will be in frequent contact with the dog:

Is there anyone in your family who is allergic to animals?
Sélectionnez une réponseNoYesI'm not sure

I mainly live:*
Sélectionnez une réponseIn the citysuburbsIn the countryside

In:*
Sélectionnez une réponseAppartmentCondoHouseOther

I am*:
Sélectionnez une réponseOwnerTenant, but I am allowed to own a dog

I plan to move in the next few years:*
Sélectionnez une réponseYesNoI don't know

How many hours on average do you have to spend outside your home per day (for work or other reasons)?

When I am away the dog will be: (obligatoire)
Sélectionnez une réponseFree in the houseCaged in the houseOutsideIsolated in a roomIt will depend on his behaviorOther (explain)

Explications:

If you currently have animals, what types of animals do you have and how many?

EXPERIENCE

Have you ever had a dog?*
Sélectionnez une réponseYesNo

Which of the following would make you consider abandoning your pet?

Lesquelles des situations suivantes vous feraient considérer l'abandon de votre animal?(obligatoire)
AgressionBitesFearful animalUncleanlinessMarking insideDestructionSignificant vocalizationsConflict with other animals in the houseSignificant nocturnal activityAllergy to the animalBirthMovingSeparationwew spouseFinancial problemsLack of timeAnimal diseaseOwner's diseaseNone

Have you planned a budget for food, basic care and any unforeseen veterinary expenses?
YesNo but I plan to do itYes and I plan to take out health insurance for my pet

EXERCISE AND TRAINING

What type (s) of activity or exercise will you do with your dog:
WalkJoggingDog parkAnyOther

If other, specify:

How willing would you be to train your dog to improve unwanted behaviors (dirtiness, pulling on a leash, barking, chomping on objects, etc)?
Just a little bitModeratelyManyI would rather not have to train my dog

YOUR PERFECT MATCH

I have a preference for a dog at the shelter (specify its name):

Age preference:
PuppyTeenager (6-12 months)AdultSenior

Gender preference:
MaleFemale

I prefer purebred dogs (name the breed (s)):

My favorite dog size :
SmallMediumLarge

The characteristics of my ideal dog are (check all that apply):
SociablePlayfulActiveCalm or quietAffectionateIndependantOthers (explain)

Other characteristics:

I would be interested in a humanitarian adoption:
No, I prefer a healthy dogAged dogSpecial care or chronic health problemDog that need behavioral trainingPhysical disability (ex: one eye or amputee)End of life

IN SUMMARY

Why would you be the perfect family to adopt a dog?

I understand that adopting is a commitment, for better or worse, for the next 15 years.*
Yes

I certify that the information provided in this form is true.*
Yes