Pre-Adoption Response #26314
Date of Birth:
50 stafford road
Size of dog:
Small (e.g. Terrier)
Interested in gender:
Interested in age:
Have you seen a dog or puppy on our website that you are interested in? If so please tell us the name:
At which centre?:
Home ownership status:
Permission if renting:
Type of property:
If other property:
If a flat, what floor?:
Do you have a garden?
Size of garden:
Is the garden secure?
Height of fencing:
Direct access to garden?
If no direct access to garden, please specify:
Number of adults at home:
Number of children at home:
Ages of children:
Do you have children that visit regularly?
If yes, ages:
Frequency of visits:
Do you own any other dogs?
If yes, breed and gender:
Are they neutered?
Any other pets?
If yes, which pets:
If other pet, please state:
Any visiting animals and details:
How much daily exercise do you expect to give your dog - Weekday (hours)
How much daily exercise do you expect to give your dog - Weekend (hours)
How active are you?
How long do you expect to leave the dog alone on a regular basis?
7 hours I work shifts
5 days many 3 depending on shift pattern
Where do you plan on leaving your dog when you leave the house?
Run of house
If other, please specify:
Are you planning on any of the following?
Your ideal dog would be good with cats:
Your ideal dog would like other dogs:
Your ideal dog would be good with livestock:
Your ideal dog would be comfortable around children:
Your ideal dog would like strangers:
Your ideal dog would enjoy being picked up/petted:
Have you had dogs before?
If yes, can you give details (i.e. Breed, Size, Gender etc.):
I had a shiba Inu from a puppy I split with my husband that's the dog is with my husband
Please tell us a little more of your experience: (Tick any that apply)
I have trained pet dogs before, I would enjoy training a dog
Are you, or anyone in your household self-isolating for any reason?
If yes, please give details:
Is there someone able to help you and your dog if you become ill or have to self-isolate?
Are you a key worker or currently working from home?
If working from home, what would your plans be for your new dog when you return to work?
By submitting this form, you agree that all the information above is factual and truthful to the best of your knowledge.
How would you like to hear from us?