ADOPTION QUESTIONAIRE


We appreciate your interest in our breed. Please complete the following so that we may
know you better

Date

Name

Address  
                                                                                                                                     
Home phone
  
Work phone

Email address

How did you hear about us ?

Why do you want to own a Dalmatian ?

Do you consider yourself / family to be active in such a way that it would include your dog ?
Describe

What pets do you currently have (breed, age ,sex ) ?

How do your pets get along with other dogs ?

Is / are your dog (s) spayed / neutered ?

Have you ever obedience trained a dog ?

are you willing to train this one ?

What type of dog food  do you feed ?

How often ?

Own cats ?

Do they live indoors ?

Name, address and phone number of your veterinarian

Size of yard

Fence height

Fence type

Are your yards completely enclosed  ?

What kind of shade is in the enclosure ?

What kind of accommodations do you have for the dog in the cold ?

Anyone home during the day ?

Hours dog would be left alone

Where would the dog stay during the day when alone ?

Will the dog be allowed to live inside ?

Where will the dog sleep ?

Do you have a dog door into the house or garage ?

Do you own / have a dog crate ?

What do you do with your pets when you go on vacation ?

Ages of children in contact with dog

Any asthma or allergies in household to dogs or cats ?

How severe ?

Describe neighbors that dog will be involved with… ( do they like dogs ? have children ?
have dogs, cats ?

Any problems currently with neighbors ?
Explain

Do you own your home ?

If not, do you have permission from landlord to own dogs there ?

Do you have a pool ?

is it fenced ?

Please specify what age / sex / color of Dalmatian you are looking for ( if you have a preference )


Do all parties ( if there is more then one adult in household ) want a Dalmatian ?

Have you ever owned a Dalmatian ?

Any questions about the breed that we may answer for you ?


Adopted dogs need an adjustment time, are you willing to give the new dog at least a month trial to
ensure proper adjustment ?

What in your opinion would constitute a reason for not keeping the dog and what would you do
with it if you couldn‘t keep it ?

Would you consider a second Dalmatian in the future ?

We are always in need of temporary homes for our rescue dogs, would you be willing to
foster a needy Dalmatian if it is compatible with your lifestyle and pets ?

until placed ?

By signing this questionnaire you acknowledge that completion of this form does not guarantee
that we will place a dog with you. You must first pass our interview, our home inspection and
complete one of our Adoption Contracts including at least 2 post adoption home visits for the
purpose of checking on the dogs well being. We reserve the right to terminate the adoption
process at any time.

Sign here