Adoption Questionnaire

Thank you for your interest in adopting. As part of our on-going efforts to find the best possible permanent home for our foster rabbits, we request that you answer each of the following questions carefully. Please fill out the form, and click submit. One of our Adoption Counselors will contact you shortly. Thank you!

The purpose of the following questionnaire is to determine whether your home is suited for the particular animal that you are asking for. Sometimes, there are some factors that aren't considered when adopting a pet is discussed. This form will help us to help you find the best solution for you and your family. We are here to counsel you, in order to ensure a happy home both for you and the animal. We love our animals, so we will do everything possible to make sure that they are safe and happy!

Name:
Email Address:
Address:
Phone Number:
Can you receive text messages on your cell phone? (If so please provide that number here)
Is there a particular animal that you are inquiring about?
I want this pet because:
Is the animal for you and your household? If no, who is the animal for?
Who lives in your household? Please provide ages for each individual.
Does everyone in your household want the animal(s)? If no, please explain:
Whose responsibility will the care of the animal(s) be?
Do you or anyone in your household have any allergies? If yes, list them.
Do you rent or own your home?	Rent Own
If you rent, are pets allowed?	Yes No
Please list the name and phone number of your landlord:
Are you working:	Full Time Part Time Unemployed Work At Home or Self-Employed
Have you adopted/had other pets before?	Yes No
Please list what kind of pets you've had before:
Was/Were the other pet(s) spayed or neutered?	Yes No
If not, please explain:
What happened to your previous pet(s)?
Do you currently have pets? If so, please list them:
Are your current pet(s) spayed or neutered? If not, please explain why:
Are you current pets living:	Strictly Indoors Strictly Outdoors Indoor and Outdoor Other
If other, please explain:
Do you currently have a regular Veterinarian? Please list his/her address and phone number:
Can and will you be able to provide regular veterinary care, annual examinations, and emergency medical treatment as necessary?
Where do you plan on housing the animal(s)?	Strictly Indoors Strictly Outdoors Indoor and Outdoor Other
If Other, please explain:
Please describe the type of diet that you will provide for your new pet(s):
Do you already have any supplies for your new pet? If so, please list them here (and be descriptive. For instance, cage size? Brand and type of food and bedding?)
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