Blackpool Adoption Questionnaire

First name *

Last Name *

Street Address *

City *

Provinces/States *

Postal Code/ZIP *

Phone Number *

e-mail *

How long have you lived at this address? *

Who will be the primary caregiver? *

Do you have any children? (Ages?) *

What age group would you prefer your future pet to be? *

Colour *

Sex *

Where will the puppy be kept during the day and at night? *

How many hours on average will the puppy be left alone? *

Do you beleive in using a crate? *

Will someone let him out during the day? *

Have you consulted with your allergist? * *

Have you ever owned a dog before? *

yes

No

What Kind? *

For how long? *

If you do not own the dog any longer, why not? *

Did you train your previous dog? If the answer is no tell me why? *

Did you have problems with your previous dog? If so please explain. We can help you prevent these in the future. *

Have you house trained before? *

Do you have time to train? *

Name two dog training schools near you. *

How far are they from your house? *

Name the vet clinic you will use. *

What are your thoughts on pet insurance? *

Have you turned over one of your pets to a shelter? *

yes

no

If no longer wanted, what would you do? *

Pound drop off

Sell on kijiji

Return to Blackpool

Give away