Full NameDate of birthMonthDayYearEmail AddressAddressCityZip CodeHome PhoneWork PhoneCell PhoneDo you have a Facebook profile? (if yes, insert the link)Do you have a Instagram profile? (if yes, insert the link)Your Family StatusYour Family StatusNumber of adults in the householdNumber and age of children in the householdIs anyone in the household allergic to pets?YesNoYour HomeType of dwellingDetachedApartmentOtherHow tall is the fence?Is there any possibility the pet can escape?Your Companion Animals (if applicable)Type of pet, breed, age, sex, neutered or not?How many pets have you had in the past 10 years? (If they have passed away, kindly state the cause and age of death)Have you ever been unable to care for a dog / cat you owned and given it up?YesNoHave you ever adopted a dog or cat from an organization?YesNoAbout the prospective petWhat is your primary reason for adopting a pet? (Hunting, companion, breeding, guarding, etc)Are the members of the family consent to fostering a pet?YesNoWho would be responsible for the care of the dog / cat and how many hours a day would he/she be present in the house?Do you intend to neuter the pet?YesNoIn which part of the house is the pet going to stay? (indoors, in a room, on the terrace, the garden, balcony, cage etc.)Α. While you are at home?Β. While you are at work, at school, out for the night etcC. At night?D. When you are on vacation or a business trip?F. How long would you be able to walk the dog?G. How many hours a day is the house vacant?H. If you move will you take the pet along?I) If the pet becomes destructive at your home, causes “accidents”, what would you do?Traits you are looking for in the pet you wish to adoptDo you favor a specific breed, size, sex, age, color?YesNoWhat type of character are you looking for? (social/introvert, energetic/calm, athletic, playful, etc.)Would you consider adopting a pet with health issues/ attitude issues or would you rather adopt a healthy and stable pet?Additional information you wish to share with us:Submit
