1. Please provide your contact information.

Name: (Required)

Telephone number(s): (Required)

When is a good time to reach you by phone?

Email address:

City and State in which you live:

Are you 18 years of age or older?

2. What is the name of the dog or what type of dog are you interested in adopting?

3. Why are you interested in this particular dog or type of dog?

4. What do you know about this breed or type of dog?

5. Why do you feel that this breed or type of dog is right for you?

6. If you own your home, which company provides your homeowner’s insurance? Does your policy permit this breed or type of dog?

7. If you rent or are a part of a housing association, please describe the facility (townhouse, apartment, duplex, etc.). Are pets allowed? Is there a size limit to the pets permitted or a limit to the number of pets? Are there any breed restrictions?

8. How many adults and how many children are in your home? Please note the ages of any children.

9. Are any members of your household allergic to cats or dogs? If so, please explain.

10. Who will be primarily responsible for this dog? Does everyone in your home want a dog? Why or why not?

11. How many cats, dogs and other pets are in your home? If you have dogs, list the breed or mix of breeds, gender, age, and whether they are spayed/neutered.

12. Tell us about your pets. What do you like most about them? Do you have any problems with any of them? What are you doing about it?

13. Tell us about the pets you have had in the past. What happened to them? What did you like most about them? Did you have any problems with any of them? What did you do about it?

14. Where will this dog spend most of its time when you are home? Where will this dog be when you are away from home, such as at work? Where will the dog be when you are sleeping?

15. How many hours of the day will the dog be left alone? What is your usual schedule?

16. How do you plan to keep the dog on your property? How do you plan to exercise the dog?

17. If you adopt a puppy or a dog that is not housetrained, how do you plan to train your dog?

18. What activities do you plan to do with your dog?

19. Do you currently have a regular veterinarian? If so, what is the name of the clinic?

20. Please provide any other information you think is important for us to consider.

IMPORTANT: It is Pet Haven's mission to match the needs & temperament of a dog to its adoptive home. Therefore, we reserve the right to refuse an adoption we do not feel is appropriate. We want happy dogs and happy owners!