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Adoption Questionnaire

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Adoption Questionnaire

for

Bully Buddies

We reserve the right to refuse any adoption

Your Household

Name: Date of Birth: Address: City and Province: Postal Code Phone Number: Alt. Number: Email Address: Occupation and Length or Employment How Many Days Per Week Do You Work? Hours? Does Your Job Require Extensive Travel? Who Else Lives in Your House? Names and Ages:
Are the Adults in Your Home Employed? If so, what is their Occupation and How Many Hours/Days Do They Work? Typically, how many hours a day would the dog spend alone? Who Will Be the Main Caregiver For the Dog? Does anyone in your house hold have allergies to animals? If yes, describe:

The Dog

What dog are you considering adopting? Why are you interested in this dog?
How long have you been considering adopting a dog for? What breeds are you considering adopting, and why?
Why are you interested in this breed?
What are some of the traits of this breed that you do and do not like?
Do you have any experience with this breed? If so, explain:ou do and do not like?
Does anybody in your household have any concerns about adopting this breed of dog? If so, what are those concerns?

Living Situation

What type of housing do you live in? (condo, apartment, house) How long have you been a resident in your community? Does this community have any breed-specific legislation? If so, what is it? How long have you lived at your current address? Do you rent or own? If you rent may we contact owner/manager to obtain permission to have a dog? Owner/manager's name and telephone number: If you have a yard, is your completely fenced yard? If Yes, what height and type of fencing?
Will this dog be living at the above address? If not explain:
Where will the dog be kept when you are not home?
Where will the dog sleep at night?
Where will the dog stay while you are on vacation?
Where will the dog travel in your vehicle?
Are you planning on moving in the near future? If you move what will happen to this dog? Other AnimalsIs this to be your first pet? If not, what kind of pet(s) have you had in the past and how long did you have these pets for?
Which of these do you still have? (Include age, gender and breed):
What happened to the pets you no longer have?
Have you ever adopted from a shelter or rescue group before? Have all your pets been spayed or neutered? If not, why?
Where did you get your previous pets?
Where did your previous pets stay at night? While you where not at home? If you currently have pets, will they adjust to a new dog in the house?

Vet Care

About how many times do your pets now or any previous pets visit the vet per year, and for what reasons?
Which vet(s) have you used in the past? Can we contact them?
What would you do if your dog was diagnosed with a long-term medical problem?
How large of a vet bill can you afford at one time? What brand of food would you feed this dog and why?

Training and Behaviour

Have you ever taken training, private or classes with your previous dog(s)? If yes, with whom:
Would you be willing to take training classes with you new dog? Have you ever had a dog with behavioural problems? If so, how did you deal with them?
How do you praise?
How do you punish?
What are some behaviours you do not want in a dog?
What issues would you not be willing to work with?
If your dog was not house-trained, how would you go about house-training the dog?
If your dog chewed up your shoes what would you do?
How much exercise, and what types, can you provide on a daily basis
What kind of activities do you want to do with this dog?
Do you feel you can commit to this dog for the next 10 to 15 years? Do you understand if you can no longer keep this dog that you are required to return the dog to Bully Buddies? Have you ever given up one of your animals? If so why, and to whom?
Have you ever had an animal euthanized? If Yes, why?
Are you willing to have a representative of Bully Buddies do a home visit before you are allowed to adopt a dog? Do you understand that the dog you are interested in must be sterilized (if not already) by the date specified on the Adoption/Sterilization contract? What do you think are some of the possible financial responsibilities of owning a dog?
Do you feel you have sufficient time in your life to comfortably accommodate a dog?
Briefly describe the expectations you have for this dog:
Name and phone number of two references, one of which being that of your neighbour:
Any questions or additional comments?
I certify that the above information is true, correct, and complete. I verify that I am 19 years of age or older. I also authorize that my references and my veterinarian can be contacted, and a visit made to my home before the adoption is complete.