Pet Adoption Pre-Screening Questionnaire
Full Name
Email Address
Phone Number
Home Address
Type of pet you wish to adopt
Dog
Cat
Other
Preferred age of pet
Baby/Young
Adult
Senior
No Preference
Why do you want to adopt a pet?
Who lives in your household? (adults, children, other pets, etc.)
Type of home
House
Apartment
Other
Do you have a fenced yard?
Yes
No
Not Applicable
How many hours per day will the pet be alone?
Who will be responsible for the care of the pet?
Do you currently have any pets? If yes, please provide details.
Have you had pets in the past? If yes, what happened to them?
What arrangements will you make for your pet when you travel or are away from home?
If you rent, does your lease allow pets?
Yes
No
Not Applicable
Any questions or comments?