| All our dogs/puppies are tested, altered, wormed, all vaccines up-to-date and micro-chipped. We pride ourselves on having healthy dogs/puppies. Since these animals come from situations we have no control over. We cannot guarantee the temperament or any unforeseen health problems that may arise with rescued animals. The following questions are designed to help Animal Rescue League find the animals in our care a suitable, safe, healthy and loving home, please fill out this questionnaire COMPLETELY. Thank you for filling out this form. |
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| Email Address * |
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| Address |
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| City/State/Zip |
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| Home Phone |
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| Work Phone |
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| Reference Name |
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| Reference Phone |
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| Reference Relationship |
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Home Information |
| Do you live in: |
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| How long lived there? |
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| Do you: |
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| If rent, are animals allowed by your landlord? |
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| Have you paid a pet deposit? |
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| Landlord Name |
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| Address |
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| Phone |
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| If you move, are you prepared to find another residence allowing pets? |
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| # Adults In Home |
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| # Children In Home |
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| Childrens Ages |
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| Do you or anyone in your household or immediate family have allergies or asthma? |
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| Is your yard fenced? |
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| How high? |
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| Type? |
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Employment and Misc Information |
| Name of Employer |
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| Status |
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| Employment Address (include city & zip code): |
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| How Long employed (indicate month or year)? |
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| Are you retired? |
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| If yes (circle), where is your source of income? |
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| Are you a student? |
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| If yes, |
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| Are you in the military? |
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| If yes, are you prepared to take the animal with you if you must move for the Military? |
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,Your Pets |
| Do you currently have pets? |
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| If yes, types & ages |
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| List other pets you have had in the past 5 years: |
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| What happened to your pets in the past 5 years (detail): |
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| Will the animal be in a runner? |
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| If yes, how many hours a day will the animal be in the runner? |
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| Are your pets (present/past)? Spayed/neutered? |
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| Tested for Heartworm? |
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| Current on all vaccines? |
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| Treated regularly for fleas? |
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| Are your pets(present/past): |
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| Where do/did your pets sleep at night? |
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| Veterinarian’s (or Vet Hospital) Name: |
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| Have you adopted from a Humane Society or Rescue Group before? |
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| If so, how long ago? |
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| Name of Organization: |
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| Have you ever taken an animal to a shelter? |
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| If yes, why? |
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What Are You Looking For? |
| Gender |
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| Age |
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| Other characteristics you are looking for (color, size, activity level, etc.): |
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| If you adopt an ARL animal, would you have him/her: Treated regularly to prevent fleas? |
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| Treated by a veterinarian when needed & given regular vaccines? |
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| If you adopt an ARL animal, would you have him/her: Treated regularly to prevent heartworm? |
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| Would s/he be: |
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| If outdoors or indoor/outdoor, will there be access to a pet door and/or sheltered area at all times? |
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| How many hours/day will the animal be left alone? |
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| Where will the animal be kept when you aren’t home? |
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| What is your definition of disciplining your animal? |
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| Where will the animal be kept when you go on vacation? |
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| Where will the animal(s) sleep at night? |
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| Are you prepared to seek necessary training for the animal if needed? |
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| Would you allow ARL to deliver the animal to your home? |
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| Would you allow several home visits, follow-up phone calls after the adoption so we could see how he/she is doing? |
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| Are you prepared to have in your home a pet taxi, litter box and glass/plastic dishes upon delivery of the Animal(s)? |
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| Are you prepared to provide for this Dog/Puppy’s physical and financial needs for his/her lifetime, which will require spending at least $650+ per year on food, supplies and veterinary care? |
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| In the event that something should happen to you, what are your plans to take care of the animal(s)? |
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| Name of animal(s) interested in: |
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