🧍 About You
Full Name
Phone Number:
Email Address:
Address (Street, City, State, ZIP):
Occupation:
Do you own or rent your home?
How long have you lived at this address?
🏡 Your Household
How many adults live in your household?
How many children (and ages)?
Does anyone in the home have allergies to dogs?
Is everyone in the household on board with adopting a dog?
Do you have a fenced yard?
Yes? Mention Height: | No? How will you exercise the dog?
Describe the activity level of your home:
🐱 Pet Experience
Do you currently have any pets? (List species, breed, age, spayed/neutered status)
Have you had dogs before? What happened to them?
Who will be responsible for the dog’s care and training?
Are your current pets up to date on vaccinations and vet care?
Who is your current veterinarian (name & phone)?
🐕 Dog Preferences & Lifestyle
Where will the dog stay during the day?
Where will the dog sleep at night?
How many hours per day will the dog be left alone?
How do you plan to provide exercise for your dog?
Are you open to crate training?
What are your expectations for your dog’s behavior (e.g., house-trained, good with kids)?
What behaviors would be unacceptable to you (e.g., barking, chewing, digging)?
🐕🦺 Match Preferences
What size dog are you looking for?
What age range are you open to?
Do you have a breed or personality preference?
📋 Commitment
Dogs can live 10–15+ years. Are you prepared for that commitment?
If you move, what will you do with your dog?
What would cause you to return a dog?
Are you willing to attend training classes if needed?
If your adopted dog develops behavioral or medical issues, how would you respond?
🔐 Final Notes
May we conduct a home check or virtual home visit?
Personal references (2 people not living with you):
Name / Phone / Relationship
Name / Phone / Relationship
Anything else you’d like us to know?
Date
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