DOG’S DETAILSDo you know which dog you would like to adopt?*YesUndecided, would like to adopt an adultUndecided, would like to adopt a puppyIf yes, which dog:APPLICANT’S DETAILSName and surname*Your age*Under 1818-2425-3435-4445-5455-6465 or AbovePhysical address*Contact number*Additional contact number*Email* LIVING SITUATION/ENVIRONMENTWill you be willing to take your new family member to puppy school/dog training classes?* Yes No, I will train my own puppy/dog at home No, I would like a dog who needs minimal training To what extent is your property secured?* Walled Fenced Not secured Do you own or rent your home? If you rent, do you have permission to keep pets and are there any restrictions?* Home owner Rent, have landlord's permission Rent, need to ask for landlord's permission Is your home a free standing house, apartment or complex?* Free standing house Apartment/flat Complex Small holding Other Do you have a swimming pool or large pond?*NoYes, enclosed/covered swimming pool or pondYes, not covered or enclosedFor how many hours will the dog be left alone at home at any given day?*YOU AND YOUR HOUSEHOLDWhat is your dog experience?* First time dog owner Have had one or two dogs Have had many dogs What characteristics do you desire or could accept from a dog?* Very active, running companion Not very active, couch potato Calm, gentle and well mannered Accepts strange dogs happily Accepts strange people happily Reserved, shy Confident, outgoing Pushy, tests the boundaries Protective of family and home Clingy, dependent Independent Affectionate, loves cuddles High energy Playful Why do you want to adopt a dog?* Family pet Companion for yourself Companion for your kids Companion for your other pets Watch dog Other Other:*Pets currently living with you (click on the + button to add another pet):*AgeSpecies and breedGenderHow long have you had him/her?Sterilised? Yes/NoIf pet is no longer with you, why? GENERAL INFORMATIONHave you ever surrendered a pet to a shelter?*NoYesPlease explain why:*Where will your dog spend most of the time during the day?*Where will the dog spend most of the time at night?*Are you able to afford private veterinary care for your existing pets and a new addition?*YesNoVeterinary Practice* Name of practice ADOPTION SURVEYHow did you hear about TEARS Animal Rescue?* Printed media (newspaper, magazine, poster, etc) Google Facebook Instagram Twitter Have previously adopted from TEARS Recommended by a friend or family member Other
