Ainmhithe Animal Rescue

AINMHITHE ANIMAL RESCUE

PRE ADOPTION QUESTIONNAIRE

Date ______

Name of the dog you are interested ______

Your Name ______

Address______

______

Email______Phone______

How many people live in your home? ______

Children? ______Ages: ______

Do you have a house, townhouse, apartment, other?

______a) Do you own, or rent? If you rent, do you have your landlord’s written permission?

______b) Do you have a fenced yard, dog run, or neither?

______1) How long have you been thinking about acquiring a dog?

______2) Has every one in the household discussed adopting a new pet?

______3) Why are you looking for a dog? (Security, companion, company for other pet, etc…)

______4) Is any one in your home allergic to animals?

______

5) Will someone be home during the day?

______6) How long will the dog be left alone during the day?

______7) Where will the dog sleep?

______8) Where will the dog spend the days?

______9) When was the last time you had a dog? Or do you now? What Kind of dog was it?

______10) Was/is s/he spayed or neutered?

______11) What happened to the dog?

______

12) Please describe all other pets in the house:

______

13) This dog is desired for an: (Please circle) Individual – Couple – Family

Who will be ultimately responsible for the dog?

______14) How and how often, do you plan to exercise your dog? (e.g. walks on lead around neighbourhood, off lead walks, at beach, hills etc.)

14) Do you plan to obedience train the dog, if so, how?

______15) Please submit the name and address of your vet.

______16) Do you intend taking out pet insurance for the adopted animal?

______

I understand that AINMHITHE is an all-volunteer registered charity(nonprofit) I understand an adoption fee/donation of €150.00 is necessary to help offset costs incurred to rescue and care for each dog; (includes spay/neuter, vaccinations, food, etc.) As most animals cost us more than that to care for, you are also welcome to make a larger donation, if you wish, and are able to.

Now to the fun part of the pre-adoption form  Please Describe your “Dream Dog”!

 Energy level? (Please circle) Low – Low/Med. – Med. – Med./High – High

 Expectations of behaviour? What would its personality be? (Please circle)

Silly – protective – passive – calm – playful – cute – couch potato – smart – live mostly outside – young – goofy – pretty – well behaved – cuddly - eager to please – older – do tricks – devoted – independent - funny looking – housebroken – buddy – guard dog – not a barker...

 Anything else about what you would want/ expect in your dog:

______

Thank you so much for taking the time to fill this out, it really helps us to find the right companion for you!

RETURN TO: FRIENDS OF AINMHITHE CHAIRTY SHOP, JOHN STREET, BALLINA. CO. MAYO