Pre Adoption Questionnaire Read this before filling in the questionnaire Your Name (required) Your Address Your Email (required) Telephone Name of dog you wish to adopt If you are interested in a specific dog please enter their name or leave blank if not applicable Gender MaleFemale Age Range OK with cats? Does not matterYes OK with rabbits and other furries? Does not matterYes Applicant's Age (required) Number of Resident Adults (16+) inc. applicant (required) Number of Resident Children & Ages (required) Information on any Visiting Children & Ages Are they used to dogs? YesNoN/A How would you describe your home environment? (required) QuietNoisyBusy Type of Property (required) —Please choose an option—House (terraced)House (semi detached)House (detached)BungalowFlat or maisonetteOther If other, please give details If rented, do you have permission to keep dogs? —Please choose an option—Own homeNot yetYesNo Do you have a garden? —Please choose an option—No gardenPrivateSharedCommunal How secure is it? Where will you exercise the dog? How long & how often will the long be left alone during the day? If over 5 hours, what toilet arrangements would be made for the dog? Where will the dog stay when alone/at night? Are you going on holiday in the next 4 weeks? —Please choose an option—YesNo What arrangements will be made for the dog should you go on holiday in future? Will the dog be left outside for any length of time? —Please choose an option—YesNo Have you owned a dog before? —Please choose an option—YesNo If yes, which breeds and what happened to them? Are there any existing pets in the home? Please include breeds, ages, gender, neutered or not, and how they get on with dogs: Pets can be very expensive - have you considered how you will pay for vet bills that may arise? If you already use a vet, please provide their details May we contact them? YesNo How long and often can you spend each day on exercise and training? Would you take the dog to training classes? YesNoOnly if required What are your reasons for wanting to adopt a rescue dog? Is everyone in the household happy for a dog to join the family? How active are you in terms of exercise? Any additional information that will help us to match you with your ideal dog? I can confirm that I have read the HYPS Guidance document on adopting a rescue dog and I understand the responsibility and issues I may face when adopting a rescue dog By using this form you agree with the storage and handling of your data by this website. Δ
