<p> Little Angels Rescue BG Registered Animal Welfare Charity No. 176001166 www.littleangelsrescuebg.org | email: [email protected]</p><p>Little Angels Rescue Adoption Questionnaire - Dog</p><p>Date:</p><p>Dog’s Name(s) of Interest: Re-homing country (UK or GERMANY): </p><p>Personal Information:</p><p>1. Name: 2. Address: 3. Nationality: 4. Languages Spoken: 5. Home phone: 6. Work phone: 7. Mobile phone: 8. E-mail address: 9. SKYPE address: 10. Facebook contact URL: Age (mark with an X): 18-25: ___ 26-35: ___ 36-45: ___ 46-55: X 56-65: ___ >66: ___</p><p>11. Alternative person to contact in case of emergency (e-mail and telephone): </p><p>12. Do you work (full-time / part-time / retired / other): </p><p>13. Occupation(s) of adult family members: </p><p>14. Do all members of the family agree with the adoption or foster of the dog: </p><p>15. Please supply photos of your home, garden and family life – attached Y/N</p><p>About Yourself:</p><p>16. Do any children live or visit the house regularly what are their ages and how much experience do they have with dogs?</p><p>17. Any other occupants? </p><p>18. How would you describe yourself as a dog owner? First time owner / have had some experience / very experienced </p><p>19. Reason for adopting a rescue dog: Family pet / guard dog / “Pets as Therapy” dog / company for another pet / potential for competition i.e. agility/obedience. / Other </p><p>20.Do you want to adopt or foster a dog: </p><p>21. Do you currently have any other pets? How many? What type? </p><p>1 Little Angels Rescue BG Registered Animal Welfare Charity No. 176001166 www.littleangelsrescuebg.org | email: [email protected]</p><p>22.If you own another dog, please give name(s), breed, sex, age, and whether they are spayed/neutered </p><p>23.Other dog(s) - what is their temperament? e.g. do they like other dogs, would they be accepting of a new dog? How would any conflicts be handled? </p><p>24.Have you ever had to give up a pet for any reason? (If ‘Yes’, please give details):</p><p>25. If you suffered an accident or became seriously ill, what would happen with the dog? </p><p>26.What would you do if you ever had to give up the dog due to a change of circumstances? </p><p>27. Has any member of the family who will be residing in the same dwelling as the adopted dog ever experienced animal-relate allergies?</p><p>28.What do you like doing in your spare time? </p><p>29.Do you travel abroad and if so how will the dog be cared for in your absence?</p><p>30.If you move abroad permanently will you be able to take the dog with you?</p><p>About the property:</p><p>31. Type of property: bungalow / house / apartment / detached / semi detached / terraced / other </p><p>32.Owned or rented: If rented, do you have Landlords permission to have a dog? (we may need to see this in writing) </p><p> a. If rented, how long is your lease? Will you still be able to care for the dog after your lease has expired?</p><p>33. What outside space will the dog have access to? Fenced yard / Enclosed patio / Balcony / Dog house / Unfenced common area / Other </p><p>34.How secure is the garden / outside space? </p><p>35. Height of wall at its highest/lowest points</p><p>36.What is it constructed of, brick, wood, hedging? </p><p>37. Is the garden / outside space secure or are any repairs needed to make it secure? </p><p>38.Are there any gates? Are they secure? </p><p>39.Does anyone from outside the family have access to this area? E.g. gardener, neighbour. </p><p>40.Have you ever had a problem with a neighbour and your pets? E.g. has anyone ever deliberately killed one of your pets?</p><p>2 Little Angels Rescue BG Registered Animal Welfare Charity No. 176001166 www.littleangelsrescuebg.org | email: [email protected]</p><p>About your dog’s lifestyle:</p><p>41. Will the dog be left alone for long periods? If yes, how long? If needed, is there someone who can come in and toilet/walk the dog? </p><p>42.Where will the dog stay when it is at home alone? i.e. will it have the run of the house, a specific room or be put in a crate? </p><p>43.Is the dog to be an indoor or outdoor dog? Where will it sleep at night?</p><p>44.What kind of daily exercise would your dog be likely to get? E.g. Short walks / Vigorous walks / Hike or jog regularly </p><p>45. If you are a new dog owner, do you understand the basic requirements of a dog e.g. exercise, food, love, health checks (teeth, claws, parasites such as fleas and worms etc) or would you like our guidance on these aspects?</p><p>46.Do you have access to a local vet? (Please provide contact details</p><p>47. Do you plan to take out pet insurance?</p><p>48.Do you have access to transport? </p><p>49.Are you aware of the cost implications of owning a dog? i.e. possible neutering/spaying costs, insurance costs, medical costs. (Bearing in mind that the life span of the dog could be 20 years or even more)</p><p>50.If the dog is too young to be sterilized prior to adoption, will you get the dog sterilized when old enough? Y/N if no, what steps will you take to ensure no breeding takes place? </p><p>51. Are you willing to work on any behaviour and/or educational issues that may arise during the dog’s life? Would you access training classes if needed? </p><p>52. Are you willing to live with hair on the furniture and carpets, a dog on your bed, an animal that could be destructive at times? </p><p>53. Please tell us a little bit about yourself, what you like doing, the kind of activities you envisage doing with your new dog:</p><p>3</p>