Please Print, Fill Out, and FAX this 

rescue application to 858-576-2304
Or Mail it to: P.O. Box 80697 - 333 San Diego, CA 92138

Thank you



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.
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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
to care for it that long? _____________

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?_____________

___________________________________________________________________________

___________________________________________________________________________
42. Name the most recent dog-training books you have read.

___________________________________________________________________________

___________________________________________________________________________

43. What amount of time and effort do you want to devote to training
him/her per week?____________________________________________________________________


44. What is your definition of disciplining a dog?________________________

__________________________________________

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: $_________


Your Signature:_____________________________________Date:__________________

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
(Address and phone number or rescue organization )

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