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Please Print, Fill Out, and FAX this rescue application to 858-576-2304 Thank you |
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DOG RESCUE SERVICE - Home Evaluation - ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Date:___________________ This questionnaire is prepared for your benefit, the prospective owner, and the Dog that you plan to have become a part of your family. Please answer the following questions and return this form at your earliest convenience so that you can be placed on a waiting list for a rescued dog. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Name:______________________________________________________________________ Address:___________________________________________________________________ City:___________________________________State & Zip:______________________ Phone:__________________________________Occupations:_______________________ ___________________________________ 1. Why do you want this breed of dog?_____________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 2. Have you ever owned a Dog before?_______When?______________What Breed?________ Where did you get it?_______________________________________________ 3. What happened to him/her?_____________________________________________ 4. Who is this Dog for? Self?______For Whom?_______________________ 5. If single, your age______ Live Alone?______ With Family?______________ 6. If married, do you both work?_____Husbands/Wife's Hours_______________ 7. How many children at home?________Ages:_______________________________ 8. Who will be responsible for the Dog?_____________________________ 9. Do you rent?____Own a Home?____Apartment?____Are you moving?_________ 10. Does your lease allow pets?____If moving, when_______Where____________ 11. Do you have a 6-ft fenced yard?_________Acreage?_______How Much?_______ 12. Is the dog to be fenced in or let loose?______________________________ 13. Do you intend to keep the dog primarily indoors or out? Please elaborate______________________________________________________________________ ___________________________________________________________________________ 14. Do you have a fence?______Type?___________________Height?_____________ Is the fence secure and solid?____What types of gates?________________ Can children open the gates?__________________________________________ 15. What types of improvements are needed to provide a secure yard?_______ ___________________________________________________________________________ 16. Are you willing to make the improvements?______When and how long will it take?____________________________________________________________________ 17. If you have a pool, is it fenced?______If you have a dog run is it secure?_______ 18. Have you checked the yard for dangerous articles, plants, or anything the dog could use to climb the fence?_______________________________________ 19. Are you aware of any distractions outside your yard that could plague the dog? (Such as neighbor's dog, loose dogs on street, mischievious children)__________________ 20. Can strangers gain access to your yard from the streets?______________ 21. Any allergies to animals?________________________________________________ 22. Do you have other animals?_____What kind and sex?________________________ 23. Where did you get your pet?___________________________________________ How long have you had him/her?________________________________________ 24. If you don't have a pet now, have you had a pet before?_______________ What kind and sex?_____________How long did you have him/her?_________ What happened to him/her?_____________________________________________ 25. If you have other animals, what have been your main problem with them? ___________________________________________________________________________ 26. If you have other dogs, would you consider them agressive or submissive to other people?_____________to other animals?__________________ 27. If you have birds, rabbits, cats, etc., are you prepared to spend the time necessary to accustom them and the dog to each other? _______. Can you isolate the dog from the other animals if they cannot get along?_________________ 28. Have you discussed with your family the pros and cons of owning a Dog?___________ 29. Have you asked yourself whether your lifestyle is so busy that you might not have the time or energy to properly care for a dog?________ 30. Have you taught your children the proper way to treat a living animal?________________ 31. Does everyone in your family want a dog?______________________________ 32. What other breeds have you been contemplating?________________________ ___________________________________________________________________________ 33. What is your family's overall reaction to owning a dog?_______________ ___________________________________________________________________________ 34. Which members are enthusiastic? Unenthusiastic?_______________________ ___________________________________________________________________________ 35. What concerns have been voiced by other family members?______________ ___________________________________________________________________________ 36. Do you realize that a Dog may live for 10-18 years
and are you committed 37. A Dog enjoys a daily walk, and, if properly conditioned, can go hiking or jogging with you. Have you and your family carefully considered how the dog would fit into your lifestyle?________ 38. If you expect to get a young dog, do you understand that early socialization is the key to developing a well-balanced adult Dog? ___________, do you realize that socialization means taking your dog into crowded areas outside of your home and having strangers pet the dog? _________________, that this period starts at about four months of age? _____________. Are you willing to spend this kind of time? _________________ 39. Are you likely to enroll your dog in obedience training?______________ 40. Are you willing to attend obedience classes to train the dog?_________ Which family members would be expected to assist with home training?________ ___________________________________________________________________________ 41. What kind of work, service, or behaviors do you expect of this dog?_____________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 43. What amount of time and effort do you want to devote
to training
__________________________________________ 45. Are you thinking of breeding your Dog?___________________________ 46. Do you plan to spay or neuter your Dog?__________________________ 47. Do you have a sex preference?________Which?___________________________ 48. Would you consider the opposite sex?__________________________________ 49. Are you agreeable to returning the dog, should some unforeseen circumstance arise wherin you would no longer be able to keep the dog?_____ 50. Would you be willing to allow us to visit your home?__________________ 51. How did you find out about us?________________________________________ 52. Your comments and suggestions:________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 53. If you live outside of San Diego, Would you pick up you: a. Pick up your puppy:________________________________ b. Ship Your Puppy:________________________________ c. Other (please describe):________________________________ 54. Please list TWO character references whom we may contact and their telephone #: ________________________________ _______________________________________ ________________________________ _______________________________________
Price You can offer for the dog: $_________
Thank you for your cooperation. This comprehensive questionnaire helps us in placeing the right dog with the right family. An improper placement, or one in which all the details aren't known can end tragically, usually for the dog. Again thank you. Dog Rescue Service Please return this application to the above address or Fax. There is a minimun donation of $250 requested for placement of your dog. A higher donation may be requested for a purebred or registered dogs. This money helps cover vet bills and medication for sick dogs. Thanks, Joy |
| If you are interested in a Giant Schnoodle. Contact Joy at her email: CaringPro@Yahoo.com |