Rescue Dogs

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Home/About Us
EPSOM CANINE RESCUE REHOMING QUESTIONNAIRE

 

 REHOMING QUESTIONNAIRE

Please answer all questions fully as this information helps us to ascertain if the dog you are interested in is suitable for you. If not, we may suggest another dog which is more suited to your lifestyle, needs and requirements (not all of our dogs are listed on our website as they change frequently)

Details of the type of dog you are looking for:
Breed/size – Dog’s name (if applicable)
 
Age
 
Sex  Male  Female
 
Other requirements eg, energy levels, coat type, level of training?
 
Contact Details/About you
 
Name of Adopter
(If you are over 65 please give details of the nominated party that would take the dog on in the event of illness/death)
 
Age of Adoptor
 
Address
 
Telephone
 
E-Mail
 
How did you hear about the dog/our organisation?
 
Occupation of yourself (and your partner, if applicable)
 
Hobbies and pastimes
 
Have you owned a dog before? Breed types? Bred from, or neutered? What happened to them? Any other relevant/previous dog experience?
 
When are you ready to adopt a dog?
 
Do you have transport to collect/return a dog?
 
Household details
 
Other adults (including relationship to adopter)
 
Children/Ages (including regular visitors)
 
Allergies and other special needs?
 
Other dogs and neutering status? (including regular visitors)
 
Cats and any other pet animals living in the home?
 
Livestock eg chickens, horses etc living outside?
 
Type of property
 
Owned/private rented/council/housing association Do you have written permission to keep a dog? Yes  No
 
Time at present address? Any plans to move?
 
Location? (eg main road, cul de sac etc)
 
Garden size/fencing type and height at lowest point (including any gates)
 
Is the garden secure to prevent the dog escaping or being stolen? Yes  No
 
Is there a pond or swimming pool? Yes  No
 
Which dog walking areas do you propose to use? (ie, town, park, countryside etc)
 
Where will the dog sleep at night?
 
How do you feel about dogs on furniture/beds?
 
Do you have, or could we request, a reference letter from your vet and/or another rescue?
 
We are a small rescue and the average cost of a dog in our care exceeds £300. We usually ask for a minimum contribution of £140.00 (up to 5 yrs) for each dog to help us continue saving more dogs. Is this a problem for you? Yes  No
 
Absence from home
 
Working hours of adopter named above/approximate times that dog will be left alone?
 
Where will the dog be in the day when you are out? Other arrangements whilst out?
 
Who will care for the dog whilst you are away?
 
Do you have any holidays booked for the near future? Yes  No
 
Additional information supporting information?
 
 
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© 2008 Epsom Canine Rescue