Dog Re-Homing Questionnaire

Name of dog(s) applying for:

If you are not successful in the application of the above animal, would you us to attempt to match you to another suitable dog?

MatchAnother

About your household:

Fields marked with * are required.

Ages and relationships of other adults living at home:

Ages and gender of children in the home:

Ages of children who visit your home:

How often do these children visit?

Are these children used to dogs?

ChildrenUsedToDogs

Do any family members suffer from allergies/asthma?

AllergiesAsthma

Are you planning any changes to your household in the next 6 months?

Please give any details:

Do you consider your household to be:

HouseholdType

How often will your dog be left alone for?

Who will be caring for the dog during the day?

Will your dog go to work with you?

GoToWork

If yes, what is your occupation?

About your home:

Type of accommodation:

Do you own your own home?

OwnHome

If no, who does?

Written permission from your landlord will be requested.

Do you have access to a secure garden?

SecureGarden

How high are all your fences?

Do you live on a main road?

LiveMainRoad

Is your front garden securely fenced and gated?

FrontGardenSecure

In addition to your garden, where would you exercise your dog?

Where would your dog stay during the day?

StayDuringDay

At night:

StayAtNight

Other pets:

Do you own any other dogs?

OwnOtherDogs

Please list the breed and sex of your other dogs:

Is it/are they neutered?

Neutered

What is your opinion on neutering?

Do you own any other pets? Please give details such as type, age and where they are kept:

Have you owned a dog before?

Have you owned a rescue dog before?

PreviouslyOwnRescuedDogs

If yes, what was the name of the shelter?

What happened to your previous pets?

Your potential new dog:

Please tick any of the following that apply:

I would like my new dog to: Very important Quite important Not important
Like children
Be good with cats
Like other dogs
Be good with livestock
Be good with small animals
Like strangers
Be housetrained
Enjoy being picked up
Be good when left alone
Like travelling in the car

Some of our dogs require further training. Please tick any statement with which you agree:

Would you be prepared to attend training classes:

TrainingClasses

If no, why not?

What size dog are you looking for?

DogSize

I need a dog that has already been trained

DogTrained

I am a first time dog owner

FirstTimeOwner

I have trained pet dogs before

TrainedPetsBefore

I have obedience trained a dog before

ObedienceTrainedPetsBefore

I would enjoy training a dog

EnjoyTraining

I am an experienced owner and could train a difficult dog

ExperiencedOwner

Are there any breeds you prefer?

Any breeds you do not wish to home?

Would you prefer:

DogCoatType

How much exercise can you give a dog on weekdays?

How much exercise can you give a dog on weekends?

How active are you?

HowActiveAreYou

Why are you looking for a dog?

Please give any further information to support your application: