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

Age Range

OK with cats?

OK with rabbits and other furries?

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?

How would you describe your home environment? (required)

Type of Property (required)

If other, please give details

If rented, do you have permission to keep dogs?

Do you have a garden?

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?

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?

Have you owned a dog before?

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?

How long and often can you spend each day on exercise and training?

Would you take the dog to training classes?

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.