Emma

1

Contact details

First name *

Last name *

E-mail *

Phone

2

Experience with dogs

Have you had dogs before?

Yes No

Which breeds and for how long?

Do you have experience with foreign / street dogs?

Yes No

Why do you want to adopt from animal welfare? *

3

Living situation

Location type

Urban Suburban Rural

Housing type *

House Apartment

Floor

Lift available?

Yes No

Renting or owning?

Owned Rented

Does the landlord allow dogs?

Yes No Not asked yet

Living area (approx. m²)

Do you have a garden?

Yes No

Garden size (approx. m²)

Is the garden fenced?

Yes No Partly

City / Address

4

Household

Number of people in household

Are all household members in agreement with the adoption?

Yes No

Are there children in the household?

Yes No

Age of children

Are there pet hair allergies in the household?

Yes No

Allergy details

5

Other pets

Do you have other pets?

Yes No

Which animals and how old are they?

6

Work & daily life

Are you employed?

Yes No

How many hours is the dog alone daily?

How often / how long do you walk the dog daily?

How much active time per day do you have for the dog?

Is holiday care arranged?

Yes No

Is there an emergency care?

Yes No

7

Commitment & responsibility

Do you have a regular income for animal care?

Yes No

Are you aware of possible vet costs?

Yes No

Are you ready, if necessary, to seek the help of a dog trainer or enrol your dog in an obedience school? (e.g. behavioural problems, walking on a lead, etc.)

Yes No

Do you have the patience and time needed to support Emma during the settling-in period? (e.g. house-training, anxiety, walking on a lead, etc.)

Yes No

Are you ready for a long-term commitment (10–15 years)?

Yes No

Do you agree to a home visit?

Yes No

8

Other

Have you ever had to surrender or euthanize an animal?

Yes No

If yes, why?

How would you react to behavioural changes or problems?

What reason(s) might prompt you to return Emma?

Why do you specifically want to adopt Emma? *

Further questions or comments

Description

Compatibility

Adoption request for Emma

Contact details

Experience with dogs

Living situation

Household

Other pets

Work & daily life

Commitment & responsibility

Other