Adoption Questionnaire

Version 13-jul-06

Thank you for filling out this questionnaire. Your answers will help us match your needs with the dogs in our program. Please complete this form, bring a copy of it with you to Adoption Day and also electronically submit or mail a copy to:

German Shepherd Rescue of Northern California, Inc.
P.O. Box 8498
Emeryville, CA 94608

Name:
Address:
City: State: Zip:
County:
Phone   Day: Evening: Cell:
email:

Please tell us about your family and home:

1.
 Has everyone in the family discussed and agreed on getting a new dog?   yes no
  Who will be primarily responsible for the dog's care?
2.
 Are you financially prepared to provide regular veterinary care?  yes no

 

 Name and city of your veterinarian:
3.
 Are there children who live in or regularly visit your house (such as grandchildren and neighbor children)? yes  no  
  How many and how old are they?
4.
 Do you currently have other animals? yes  no  
  Are they Inside or Outside? inside  outside  
  Are they spayed and/or neutered? yes  no  
  Livestock? yes  no  
  If you have other pets, please list all other animals in the household:  (type, sex, age)

 

 If you no longer have your pets, what has happened to them?
5.
 Do you own or rent your home? own rent

 

 If you rent, do you have your landlord's permission to own a German Shepherd?  yes no
6.
 Please describe your current residence (house? apartment?) including the kind of yard or exercise area the dog would have, whether it is securely fenced and with what kind and height of fencing?
  How are fence gates secured?
7.
 Do you have any known hazards, such as poisonous plants, outside electrical wire, or an unfenced pool with no way for the dog to climb out? Are there any structures that would allow your dog to climb out of the exercise yard? yes no
  Explain:

Our goal is to place our dogs into a loving, permanent home. Please help us match a dog to your family by answering the following questions:

8.
 What role do you want the dog to play in your life?
9.
 Why would you be the best home for one of our dogs?
10. Gender preference:
11. Age preference:
12.

Why do you want a German Shepherd Dog? (select one)

I have never owned a dog, and have heard GSDs make good family pets.
I had one growing up/have owned one before/have owned family dogs before and have always wanted a GSD.
I have owned several GSDs and love their intelligence, versatility, athletic ability, trainability and confidence.
I have owned them before, and want another one to do competitive dog sports with.
I know the breed and I'm looking for a serious protection, guard or working service dog.
13.

Where do you want your dog to live? (select one)

In the house fulltime/outside rarely.
Inside house most of time, sleeps inside/dog door to outside.
Inside when you're home/outside when you're gone.
Mostly outside in yard/sleeps in garage or kennel/rarely in the house.
Outside only/kenneled.
14.

How long will your dog be alone during the weekday? (select one)

Rarely.
2 to 4 hours.
4 to 7 hours.
8 to 10 hours.
More than 10 hours.
15.

What training have you had relative to dogs? (select one)

None.
Pet store obedience classes, group recreational classes.
Formal obedience courses, private obedience lessons, or recreational sports classes.
Have taken or competed in formal advanced training for competitive sports, online courses, attended seminars, earned working titles.
Professional level military, service or police work.
16.

What kind of activities do you participate in with your dog? (select one)

Walks, playing ball in the back yard, dog parks.
Games, teaching house manners, tricks and household obedience, hikes, jogging, camping trips.
Structured basic AKC obedience, recreational sports such as flyball and agility, canine good citizenship, hunting.
Competitive organized dog sports such as agility, flyball, obedience, herding, tracking, Schutzhund, SAR, field trials.
Professional security, service, narcotics, bomb detection work.
17.

Are you ready to adopt a dog right now, or are looking for one for later?

 now later
  If later, what needs to happen first?
18. How were you referred to German Shepherd Rescue of Northern California?
19. Any additional comments to help us match the right dog to you?

The average cost of caring for our dogs, including shelter fees, spaying/neutering, veterinary care, boarding and feeding, exceeds $300 per dog. We ask for a minimum adoption fee of $200 to cover these costs and appreciate any additional contribution you may be able to make.

We thank you for your interest in German Shepherds!

We are a non-profit all volunteer group.