Animal Aid Foundation
Adoption Questionnaire

All applicable fields must be completed.

First Name:  MI:  Last Name: Are you 18 or older?
Street Address:   City:   State: Zip:  
Home Phone: Work/Cell Phone: Ext #:
  E-Mail Address: Please double-check e-mail address for accuracy.

Name of pet you are
interested in adopting:

View available pets
Where will your new pet spend most of its time? Where will your new pet sleep?
This pet will be kept mostly: Indoors Outdoors Are you able to keep your new pet separated from your other pets for the first five (5) days?   If adopting a cat, are you will to keep it indoors?
Yes No Not adopting a cat
Do you currently
own any pets?
How many cats?   How many dogs? How many of your pets
are spayed or neutered?
How would your pets get along
with a new dog or cat?
In the last 5 years, how many pets have you owned?
How many of them were spayed or neutered?
What happened to the pets that you no longer own?

Do you own or rent? Rent Own Landlord name (if renting):
Do you live in: City Country
House Apartment Mobile Home
How many hours a day is someone home?
Are there children in the home?
Yes No Occasionally
What are your reasons for adopting a pet?
Companion Gift For children Guard Dog Mouser
Are you aware you are required to
have your new pet spayed or neutered? Yes No
Do you object to us visiting your home some time in the future? No Yes
Who is your current veterinarian? To better our services, who or what recommended our facility?

Date Application Submitted: / /