Me and My Family

Applicant's Name

Street Address

City

State

Zip Code

Home Phone

Mobile Phone

Work Phone

Email Address

Occupation(s)

Questionnaire

Names and ages of all household members, including yourself.

Who will be caring for the pet?

How many hours will the pet(s) be alone during the day?

Where will the dog be kept during this time?

When I am home, my dog will mainly be:

Where will the dog sleep at night?

Your Future Dog

Name or type of dog you're seeking

I'm interested in a (check all that apply): Puppy Adult Senior Male Female

Why do you want this particular dog or breed?

How long have you been looking for a pet?

I want a pet because...

What is the activity level of the dog you are looking for?

What do you consider undesirable traits?

What would you do if you saw some of the above undesirable traits you listed above in the pet you have adopted?

What will you do if the dog displays bad behavior such as barking, digging, chewing, etc?

What time period do you require to prepare for your new dog?

Who will be responsible for the socialization, medical care and training of this animal?

Who will be housebreaking this pet?

Describe your method of housebreaking:

In what manner will you be transporting your pet in your vehicle?

What brand of food will your dog eat?

What grooming requirements do you feel are necessary for this particular dog?

On average, how much do you expect to spend annually on this dog?

There are times when unexpected and often very expensive medical conditions occur.
What will you do if this happens to your pet?

Lil' Paws

Would you be willing to allow a representative of the organization to visit your residence? Yes No

How did you find out about Lil' Paws? Newspaper Ad Internet Friend Lil' Paws Volunteer Television Meet-n-Greet Other

Would you consider volunteering for our group? Yes No

In which of the following areas would you like to help with? Foster Adoption Day Helper Transportation to Vet Appointments Meet-n-Greet Television Home Visits for Potential Adopters