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Adoption Form

Date Of Birth
Day
Month
Year
1. I am interested in adopting
Puppy
Dog
Cat
3. Reason for adopting?
For Companionship
As a Guard Dog
For a Farm
Other
4. Are you living with
Family
Friends/ Roommates ( Go to question 6)
Alone ( Go to question 6)
Other
5 B. Are there any children below 13 years ?
Yes
No ( Go to 5D)
5 C. If yes, will you be able to cope with children & pets?
Yes
Unsure
5 D. In case of events like child birth and the family expanding, will you be able to cope with the baby & the pet?
Yes
Unsure
6.House Type
Independent
Apartment
Other
7. House Ownership
Own
Rented
Other
8 A. If not owned, have you informed & received the approval of the owner.
Yes
No
Not Applicable ( Own)
9A. Are you a first time pet owner?
Yes ( Go to 10 A)
No
9B. If No, do you have any other pet now?
Yes
No ( Had in the past)
10A. Will the new pet have human company for most part of the day?
Yes
No
10 C. Will the pet be chained?
Yes
No
Other
10 D. The pet will stay
Indoors
Outdoors
Other
10 E. Will the dog be taken for walks & exercised regularly?
Yes
Unsure
10 G. In case you have to move to a new city or country along with your family, will your pet also move with you?
Yes
Unsure
11. In case of any adjustment issues, will you be open to receiving counselling support from the CARE team & work with your pet patiently?
Yes
No
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