Love All Breeds Rescue - Bessemer, Alabama
Pre-Adoption Questionnaire
Thank you for your interest in a rescue dog. The goal of this questionnaire is to obtain information to ensure compatibility between your family and the pet you are interested in adopting. By answering these questions thoroughly and honestly we will be able to determine if the animal you are interested in would be a good fit for your lifestyle. You must be 18 years of age or older to adopt one of our dogs.
When you contact us about a particular animal we have for adoption, these are the questions we'll ask you. We simply want to make sure you get the right dog for you/your family.
What is the name of the animal you are interested in? _________________________________________________
What is your name? _________________________________________________________________________
Please provide your street address, city, state and zip code: _____________________________________________
_____________________________________ What is your phone number? _____________________________
What is your email address: _________________________________ What is your marital status? _____________
If married, is your spouse also interested and aware of the adoption? __ Yes ___ No
How many people live in your household? _____ What are the ages of the adults? ____ ____ ____ ____ ____ ____
What are the ages of the children? ____ ____ ____ ____ ____ Do you own your home or rent? ____ Own ____ Rent
If renting, what is the name and phone number of your landlord? __________________________________________
Does the landlord have a weight limit for a pet? ________ Please check all that apply:
___ Companion for another pet ___ Family Pet ___ Child's Pet
___ Companion for self ___ Guard dog/Watch dog ___ Gift
___ Breeding
How long will the dog be home alone on the average day? _______________________________________________
Will the dog be living: ___ inside ___ outside ___ both Do you have a fenced yard? ___ Yes ___ No . If yes, please
describle type of fence (chain link, wood, etc.) and height: _______________________________________________
What kind of shelter will your pet have while outdoors? ________________________________________________
**Alabama law defines shelter as 3 sides, a top, and a bottom**
For which of the following reasons would you give up your pet? Please check all that apply:
___ Not Staying in Fence ___ Financial Reasons ___ New Baby ___ Excessive Barking
___ Adult Size too Large ___ Not Getting Along with Other Pets ___Other -explain: ____________
_________________________________________________________________________
Have you ever turned in a pet to the animal shelter? ___ Yes ___ No If yes, why? _________________
_________________________________________________________________________
Has a pet died while in your care? ___ Yes ___ No If yes, what were the circumstances? _____________
_________________________________________________________________________
Do you currently own a pet? ___ Yes ___ No If yes, how many and what types? __________________
Do your pets live: ___ inside ___ outside ___ both
Are your current pet (s) shots up to date? ___ Yes ___ No
Are your current pet (s) spayed/neutered? ___ Yes ___ No If they are not spayed/neutered, why? ______
_________________________________________________________________________
Are your current pet (s) on heartworm prevention? ___ Yes ___ No If not, why? __________________
Are your current pet (s) on flea/tick prevention? ___ Yes ___ No If not, why? ___________________
WHAT IS YOUR CURRENT VETERINARIAN'S NAME AND PHONE NUMBER? __________________
_________________________________________________________________________
Do you mind if we call your vet for a reference? ___ Yes ___ No
After we go through these questions with you, we will have a good idea of which of our dogs fits your lifestyle!
Love All Breeds Rescue
Bessemer, Alabama
Thank you for your interest in a rescue dog. The goal of this questionnaire is to obtain information to ensure compatibility between your family and the pet you are interested in adopting. By answering these questions thoroughly and honestly we will be able to determine if the animal you are interested in would be a good fit for your lifestyle. You must be 18 years of age or older to adopt one of our dogs.
When you contact us about a particular animal we have for adoption, these are the questions we'll ask you. We simply want to make sure you get the right dog for you/your family.
What is the name of the animal you are interested in? _________________________________________________
What is your name? _________________________________________________________________________
Please provide your street address, city, state and zip code: _____________________________________________
_____________________________________ What is your phone number? _____________________________
What is your email address: _________________________________ What is your marital status? _____________
If married, is your spouse also interested and aware of the adoption? __ Yes ___ No
How many people live in your household? _____ What are the ages of the adults? ____ ____ ____ ____ ____ ____
What are the ages of the children? ____ ____ ____ ____ ____ Do you own your home or rent? ____ Own ____ Rent
If renting, what is the name and phone number of your landlord? __________________________________________
Does the landlord have a weight limit for a pet? ________ Please check all that apply:
___ Companion for another pet ___ Family Pet ___ Child's Pet
___ Companion for self ___ Guard dog/Watch dog ___ Gift
___ Breeding
How long will the dog be home alone on the average day? _______________________________________________
Will the dog be living: ___ inside ___ outside ___ both Do you have a fenced yard? ___ Yes ___ No . If yes, please
describle type of fence (chain link, wood, etc.) and height: _______________________________________________
What kind of shelter will your pet have while outdoors? ________________________________________________
**Alabama law defines shelter as 3 sides, a top, and a bottom**
For which of the following reasons would you give up your pet? Please check all that apply:
___ Not Staying in Fence ___ Financial Reasons ___ New Baby ___ Excessive Barking
___ Adult Size too Large ___ Not Getting Along with Other Pets ___Other -explain: ____________
_________________________________________________________________________
Have you ever turned in a pet to the animal shelter? ___ Yes ___ No If yes, why? _________________
_________________________________________________________________________
Has a pet died while in your care? ___ Yes ___ No If yes, what were the circumstances? _____________
_________________________________________________________________________
Do you currently own a pet? ___ Yes ___ No If yes, how many and what types? __________________
Do your pets live: ___ inside ___ outside ___ both
Are your current pet (s) shots up to date? ___ Yes ___ No
Are your current pet (s) spayed/neutered? ___ Yes ___ No If they are not spayed/neutered, why? ______
_________________________________________________________________________
Are your current pet (s) on heartworm prevention? ___ Yes ___ No If not, why? __________________
Are your current pet (s) on flea/tick prevention? ___ Yes ___ No If not, why? ___________________
WHAT IS YOUR CURRENT VETERINARIAN'S NAME AND PHONE NUMBER? __________________
_________________________________________________________________________
Do you mind if we call your vet for a reference? ___ Yes ___ No
After we go through these questions with you, we will have a good idea of which of our dogs fits your lifestyle!
Love All Breeds Rescue
Bessemer, Alabama
