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Adoption Questionnaire
Thank you for your interest in a German Shepherd Dog. The ownership of a German Shepherd Dog, like any pet, is a serious responsibility that requires a long term commitment. It is the goal of San Francisco Bay Area German Shepherd Rescue to insure that this responsibility, as well as the physical, psychological and material needs of each German Shepherd Dog, be met in its new home. This questionnaire has been designed to help determine if we can match your needs with the dogs in our program. Please understand that since our adoption approval process requires personal interviews and home visits, we are unable to accept Adoption Questionnaires from out of state or from southern California.
Click here for further adoption procedures
name:
age:
street address:
city:
county:
zip:
email address:
home phone:
business phone:
occupation:
employer:
occupation:
employer:
1.
How many dogs have you owned in the past?
Please list each dog(s) breed, gender, name, age, what became of the dog, and how long you owned it.
Breed
Gender
Name
Age
What happened
How long
1
Male
Female
2
Male
Female
3
Male
Female
4
Male
Female
Owned more than 4 dogs previously
2.
How many dogs do you currently own?
Please list each dog(s) breed, gender, name, age, and how long you owned it.
Breed
Gender
Name
Age
How long
1
Male
Female
2
Male
Female
3
Male
Female
4
Male
Female
Own more than 4 dogs currently
3.
What other pets do you have?
4.
Have you ever bred or raised dogs?
Yes
No
5.
Have you ever participated in dog shows, obedience, or dog sports?
Yes
No
6.
Have you ever trained a dog before?
Yes
No
If "Yes", what commands were taught?
What methods of correcting mistakes do/did you use in training your dog?
7.
Are you familiar with crate training?
Yes
No
If "No", would you be willing to learn more about it and consider the use of a crate (portable cage) as a housebreaking and transitional aid?
Yes
No
8.
What books or other material have you read concerning German Shepherd Dogs, dog training, or the behavior of dogs?
9.
Why do you want a German Shepherd Dog?
10.
Number of Adults in Household:
11.
Number of Children in household:
Please list gender and ages of children:
Gender
Age
1.
Male
Female
2.
Male
Female
3.
Male
Female
4.
Male
Female
5.
Male
Female
6.
Male
Female
7.
Male
Female
8.
Male
Female
12.
How many hours a day will your dog be alone?
13.
Where will your dog sleep?
14.
Where will your dog spend most of its time during the day?
15.
How will your dog receive physical exercise?
16.
It is important that everyone in the family will want this dog and spend time with it. Who will have the primary responsibility for the care and well being of your dog?
17.
How would you describe your household activity level:
Very Quiet
Rather Easygoing
Usually Something Going On
Lots Of Activity
18.
Estimate number of times per month that adults visit your home:
Estimate number of times per month that children visit your home:
19.
In addition to a regular life at home, would your dog:
Walk routinely with a family member?
Compete in obedience trials or other dog sports?
Go to obedience classes?
Go to your place of business with you?
Travel with you?
Be a playmate for your children or pets?
Other
20.
Do you live in a:
Single family home
Mobile Home
Condominium
Apartment
21.
Do you rent?
Yes
No
If you rent or lease, you must have written permission from your landlord; we would like this document at the time of any home visit. Please list landlord's information:
Name
Phone Number
Street Address
City
State
Zip Code
22.
Is your yard fenced?
Yes
No
If "Yes", note the approximate size of the fenced area, and height and type of fencing material.
If "No", would you fence all or part of it as a condition of adoption?
Yes
No
23.
Are there any structures that would allow your dog to climb out of the exercise area? Any poisonous plants? A pool? Electrical meter in the backyard? Unusual features?
24.
Would you prefer a male or a female dog?
Male
Female
No Preference
25.
What is your age preference?
Under one year
1-3 Years (Adolescent)
Over 3 Years Old
No Preference
26.
Occasionally, a GSD with special needs (physical restrictions or senior dog, for example) is available for adoption. Would you be interested in being considered for such a dog?
Yes
No
27.
Are you financially prepared to provide regular veterinary care?
Yes
No
28.
Do you give your dogs monthly heartworm preventative?
Yes
No
29.
Considering all dogs you have owned, what health related issues have you experienced with your dogs, and what kinds of routine veterinary care have been given, generally speaking (no detailed medical records desired):
30.
Do you currently have a veterinarian?
Yes
No
If "Yes", please list your veterinarian's name, address, and phone number:
Name
Address
Phone Number
May we have permission to contact your veterinarian?
Yes
No
31.
What prior arrangements would you make/have you made for a permanent home for your dog, in the event of your incapacity or death, job loss, home loss, or divorce?
32.
How were you referred to German Shepherd Rescue?
33.
Would you consider becoming a foster parent for
one of our GSDs? (Please understand that fosterers, in order to be
approved, must meet additional requirements as well as meeting the same
requirements as an approved adopter).
yes
no
34.
Are you applying with any other rescue groups, and
if so, who and why?
35.
Are you interested in adopting immediately, or are
you able to wait for us to find you the right dog? (it generally takes
from 1-12 weeks to find a dog suitable for a potential adopter's
situation, although there are situations due to special
needs/considerations which may take longer).
immediately
can wait
36.
Please add any additional information or thoughts that you feel would help us to understand you and your home, so that we might find the right German Shepherd Dog for you.
Our adoption fees are: Puppies up to 8 months old: $200.00 Adolescent/Young Adult 9 months to 4 years: $175.00 Adults 5 years to 7 years: $150.00 Seniors/Special Needs 8 years and over: $100.00 The average cost of caring for our dogs: shelter fees, spaying/neutering, veterinary care, boarding and feeding exceeds $300 per dog. We appreciate any additional contribution you may be able to make.
PO Box 7693 San Jose, CA 95150 ph: (408) 278-8187
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