Animal Rescue Adoption Process Survey
Applicant Information
Full Name
Email Address
Phone Number
Address
Adoption Interest
What type of animal are you interested in adopting?
Dog
Cat
Other
Name of animal (if specific)
Why do you want to adopt?
Household Information
Do you currently own any pets?
Yes
No
If yes, please list type, age, and breed
How many people live in your household?
Are there children in the home?
Yes
No
If yes, what are their ages?
Home Environment
Do you:
Own
Rent
Other
Do you have a fenced yard?
Yes
No
If renting, do you have landlord's approval?
Yes
No
Commitment
Who will be primarily responsible for the pet's care?
How many hours per day will the pet be alone?
If you travel, what is your plan for the pet's care?