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Fill out an adoption survey
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Phone
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List the names of all adults (over 18) in your home
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List the names and ages of all children in your home
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What type of home do you live in?
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Apartment
House (rent)
House (own)
Condo/Townhouse (rent)
Condo/Townhouse (own)
Other
How long have you been at this address?
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What is the activity level in your home?
*
I rarely have visitors
I have occasional visitors
I frequently have visitors
I never know when visitors will arrive
Please describe all of the other pets in your home
*
What kinds of activities will you do with your new dog?
*
Please check all of the qualities you want in your dog
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Independent
Athletic
Likes other dogs
Confident
Affectionate
Protective
Very active
Enjoys young children
House-trained
Likes cats
Good with livestock
Moderately active
Able to live outdoors
Knows to stay in own yard
If you are applying for a specific dog, please state the dog's name
Do you have a gender preference?
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Female
Male
No preference
Preferred age
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Under 4 months
4 months - 1 year
1 - 3 years
3-7 years
7 years or older
Doesn't matter
Where will the dog be kept when you are away from home?
*
Free in the house
Crate
Crate at first, then free in the house if appropriate
Yard
Yard on a tie-out
Pen with a dog house
Dog-proof room
Basement or garage
Doggie day care
Other
If you have a fence, what type of fence is it?
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Not applicable
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barbed wire
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Picket
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