S.C.A.N. Costa Blanca - Animals for Adoption - Pre-Adoption Questionaire

Download the form:

You can download the questionnaire in PDF format from the following link, print it and fill it in.

Or you can fill out the form online

DOG ADOPTION QUESTIONNAIRE

The aim of the following questionnaire is to check the suitability of your profile as a possible adopter of one of our dogs from SCAN. Sterilisation/castration of the dog should be carried out within 3 months from the date of adoption AND the implantation of a microchip is a pre-requisite in order for the adoption to take place.

Please reply to the following questions as clearly and concisely as possible.

Pre-Adoption Questionaire

Fields marked with a * are required

Name of chosen dog *

SCAN Animal Registration Number *

Personal Details

Full Name *

DNI/NIE/No. Passport No. *

Date of Birth *

Nationality *

Address *

Tel Nos *

Email *

Profession *

Housing

1. What type of housing do you live in i.e. house, flat etc.?
If it is a flat, what floor is it on and what is the m2?

2. If you have a garden, patio or terrace, is it fenced and gated and what is the height?

3. Do you own the property or rent it?

4. If you rent it, does the owner of the property know that you wish to adopt a dog and if so, are they agreeable to this?

5. Do you have a neighbour who is against dogs living nearby?

Family

1. What other people live in the property with you?

2. If you have children, what are their ages?

3. Does anyone in your family suffer any allergies?

Occupations and Free Time

1. Do you work?

2. Stability and hours at work.

3. What do you do in your spare time (hobbies)?

The Dog

1. What do you look for when choosing a dog (its physique, character, age..)?

2. What do you want from your dog?

3. Do you agree with the sterilisation/castration of dogs?
Would you sterilise/castrate your dog? If so, why?

4. Would you allow your dog to go out in the street to interact with others?

The Adoption

1. Why did you decide to adopt a dog and for what purpose (companionship, breeding, guard dog …)?

2. Are you adopting for an adult, a child, an older person, someone with a disability etc...?

3. Whose idea was it to adopt a dog?

4. Where in the property will the dog live?

5. Where will it sleep? (in its bed inside, in the bedroom, hallway, kennel outside)

6. What would you do if the dog messed indoors?

7. Have you had dogs before? If so, please tell us :-

(a) What breed they were, size and gender

(b) What happened to them?

(d) What was your relationship with them (companion, guard dog ..)

(e) Did you buy them or adopt them

(f) Where did you adopt them from

8. Do you have any other animals in the property? If so,

(a) How many are there?

(b) What species are they?

(d) What is their age and gender?

(e) What is their character (dominant, jealous ..)?

(f) What is your relationship with them (companion, guard dog ..)?

(g) Did you buy them or adopt them?

9. For what periods of time will the dog have to spend in the property on its own?

10. Have you thought about what you would do with the dog when you have to leave the property for a period of weeks or days?

11. Have you visited any other animal shelters?

Are you a member of that shelter or any other animal protection societies? If so, please state which.

12. We reserve the right to visit the property both before and after the adoption. Are you willing to receive those visits for both phases of the adoption process?

13. Would you give us the name, address and telephone number of your Vet and permission to speak with him/her?

Name

Tel. No.

Address

Dog Behaviour

Please explain briefly what your reaction would be to a dog that barked compulsively and/or constantly, destroyed objects or messed in the house etc.

I have read and accept the privacy policy *

Please answer the following anti-spam question:

What is 8 - 4 =?

Please Note that as the form is quite large it may take up to a minute to send. Wait for the green message that says it has been sent successfully before changing pages.