LOVE CYPRUS DOG RESCUE. Application Form for People in the UK Wishing to Adopt a dog from Cyprus. Introduction Adopting a rescue dog, that has probably been abused and mistreated, can bring different challenges (but also special rewards) to obtaining a young dog from a breeder. The dogs may well take time to adjust to their new home, and often will need basic training, sometimes house training, as you would a puppy. These rescue dogs are very special, which is why we take such care to match the needs of the dog as closely as possible to the ideal and forever home. So please forgive us if this questionnaire seems lengthy, or some of the questions a little intrusive. Please fill out the questionaire answering every question with as much detail as possible and in RED or highlight. The adopter s details Name: Address: Phone number: Email address: Please indicate your age group by highlighting: 1825 2645 4665 66+ Other household members (please list all and if there are children please provide ages) 1. Relationship to you 2. Relationship to you 3. Relationship to you
4. Relationship to you Have you discussed with other household members your wish to adopt a rescue dog? YES / NO If YES, what is their view? Questions related to the dog up for adoption Name (if you are applying for a certain dog) Breed Gender Age 1. Do you have dog training classes/dog clubs in your area? (Please highlight) YES / NO / I DON T KNOW 2. What activities do you intend to do with your dog if you are successful in your application? (Please highlight) agility obedience/good Citizen Award gundog training gundog work other don't know Personal Questions 3. Are you: Employed? YES / NO If YES, how many hours per day do you work? What arrangements will you have in place for the dog while you are at work? Selfemployed? YES / NO If YES, how many hours per day do you work away from home? What arrangements will you have in place for the dog while you are out if your work takes you away from home?
Unemployed? YES / NO If YES, do you have a regular income (e.g. benefits) YES /NO Retired? YES / NO 4. What is the maximum time you would leave the dog alone? maximum hours 5. How many hours would you be able to spend with the dog per day? Walk: altogether per day hours Other: (play, training etc): per day hours 6. What kind of accommodation do you live in? own HOUSE / own FLAT / rented 7. Are you allowed to keep dogs? YES / NO / DON T KNOW 8. Do you have a garden? YES / NO If YES approximately how large is it? how is it secured? 9. What resources do you have nearby for exercising a dog? onlead offlead 10. Where would you keep the dog? (please highlight) the dog can go anywhere in the house the dog can only be in certain areas (e.g. hallway/kitchen) specify the dog can only be in the garage/basement/shed the dog can only be in the garden please 11. Do you have children? YES / NO If YES, how many? Ages? 12. Do you have children who regularly visit (e.g. grandchildren? YES / NO If YES, how many? Ages? Other Important Questions 13. Do you or any family members (or regular visitors) have any animal allergy? YES / NO / DON T KNOW If YES, what allergy?
14. Do you have any experience with dogs? YES / NO If YES, please specify: we have dogs in the family what breeds? what genders? when did you last own a dog? If you don t have a dog now, but you had one before, how/why did the dog die? 15. Do you have any other dogs now? YES /NO If YES, what Breed, gender and age: Do you have any other animals: YES / NO If YES, how many, and what animals where are they kept? 16. Where is your nearest veterinary surgery? Have you used this practice before? YES / NO 17. What do you estimate the basic costs of dog keeping? Food _per week 18. Is there a particular type of food you intend to feed? 19. Vaccinations per year Worming and tick/flea treatment in total per year 20. Are you familiar with dog microchipping? Do you understand what it is? Yes I heard about it, but I don t know what it is for I have never heard about it 21. If you were to plan a holiday or vacation, what would you do with your dog? 22. If you experienced difficulties e.g. behavioural/adjustment problems with your rescue dog what would you do?
23. What would make you give up (or return) your dog? Do you have an example of something that could happen that would force you to do this? 24. Who would you contact in the event you needed to give up your dog? 25. Finally, is there anything else you would like to add? Date completed _