SAVING STRAYS ADOPTION QUESTIONNAIRE Please fill in this form and submit it to our adoptions administrator. On completion and receipt of this form a Home Check will be arranged. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Date *Name of the dog you are seeking (if known)Applicant Family Name *FirstLastOccupation *AddressTown City *Postcode *Telephone number *Email *Type of property *Are you the owner of the property *YesNoIf you are not the owner do you have permission from the landlord to have a dog live with you? *YesNoHow many adults (16+) live at the property? Selected Value: 0 Age of all the adults *Do any of the adults work? *YesNoDays/Hours worked per weekHow many children (under 16) live at the property? Selected Value: 0 Do the children understand that a dog requires it's own space? *YesNoIs everyone in the household happy to adopt a dog? *YesNoWill the adopted dog ever be left alone? *YesNoIf yes how many hours each day? Selected Value: 0 Have you previously owned a dog? *YesNoIf you have had a family dog please give details.Have you or any person residing in their household, or who will care for the Dog, ever been disqualified from keeping dogs or had a deprivation order made under the Dog Welfare Act 2006 and/or has an unspent conviction for offences relating to Dogs? *YesNoDo you have a back garden? *YesNoIf you do please give details of the access to the garden.Is your garden fenced in and secure? *YesNoPlease provide details and description of the size and boundary.What is the minimum height of your garden wall/fence?Do you currently have any other dogs at the property? *YesNoIf so, please give full comprehensive details including breed, age, sex etc.If you have other dogs, have they been spayed/neutered *YesNoHow would you introduce your new dog to your resident dogs?If you have cats at the property please state how many? Selected Value: 0 If you have dogs are they all vaccinated? *YesNoIf no please give detailsYour adopted dog will most likely not be house-trained. Are you and your family prepared to accept this? *YesNoIn the near future are you planning any major changes in your household (e.g, birth, moving home, changing work hours)? *YesNoIf yes please give detailsPlease give details of any other relevant information related to your lifestyle.Where would your dog sleep? Give details. *Where will your dog stay if you are away from home (holidays etc)? *Who would exercise the dog and how often? *Will you exercise your dog off lead once recall is established and it is safe to do so? *YesNoYour dog was previously a street dog and will require a settling in period to allow them to become adjusted to your routine and existing pets. This may take longer than normal due to their history. Are you willing and prepared to allow this? *YesNoYour dog may not be neutered/spayed if it is too young. It is a requirement of adoption that the dog will be neutered/spayed within 3 months of adoption age dependent and email confirmation of the procedure sent to Saving Strays. We will advise you on the exact timing required. Do you accept to have this undertaken and provide the confirmation? Are *YesNoAre you willing to cover all veterinary costs of your adopted dog? *YesNoWill you insure your dog? *YesNoIf so who will you insure with?We may want to contact your current vet for a reference if required. Are you happy for us to do this? *YesNoIf yes, please supply the name, address and telephone number & email of your vet.Most likely the dog you adopt will not have received any formal behavioural support other than from ourselves. Are you prepared to work with our clinical behaviourist volunteer to help settle your new family member who may suggest that you attend positive compassionate training/socialisation classes? *YesNoWhat would you do if a dog stole a prized possession and was guarding it from you – growling, etc? (Please give detailed answers and avoid any known buzzwords or single word answers) *If a dog was sitting on a chair or sofa you didn't want them to, how would you get them off? (Please give detailed answers and avoid any known buzzwords or single word answers) *What action would you take if a child grabbed at the dog and teased them, and then the dog growled at the child and walked away? Please answer the question even if you do not have children visit your home. (Please give detailed answers and avoid any know buzzwords or single word answers) *How would you teach the dog to stay? *Have you had a home check within the last 6 months? *YesNoIf yes by which organisation and on what date?What expectations do you have of a dog that you adopt? *What has made you decide to offer a home to a rescue dog? *On completion and receipt of this form a Home Check will be arranged.Submit 2022-05-10
