Stue the dog

 

 

POTENTIAL NEW OWNER / REHOMER QUESTIONNAIRE

 

 

 

The information on this questionnaire will be used to assess the suitability of any particular dog for you, your household, and your current and expected situation. If you rehome a dog, it will be retained on file with the dog's record.

 

 

 

Name and address: ___________________________________________________________________

 

____________________________________________________________________________________

 

____________________________________________________________________________________

 

Telephone / mobile: __________________________________________________________________

 

Email address: ______________________________________________________________________

 

What other pets do you own (everything down to mice and reptiles)? Please give their breed, age, & sex :

________________________________________________________________________________

 

_________________________________________________________________________________

 

_________________________________________________________________________________

 

__________________________________________________________________________________

 

Please provide details of the nature of your other pets, i.e. whether they are used to other dogs, any aggressive or guarding tendencies, nervousness, and any medical issues.

 

____________________________________________________________________________________

 

____________________________________________________________________________________

 

_____________________________________________________________________________________

 

_____________________________________________________________________________________

 

 

 

Does the area where you live have any livestock, e.g. sheep, cows, horses etc? Yes / No

 

 

Please provide details of any children in the household, or who regularly visit you, i.e. their approximate ages and whether they are used to dogs. (Names are not required)

 

____________________________________________________________________________________

 

____________________________________________________________________________________

 

_____________________________________________________________________________________

 

Are you planning any of the following?

 

Having a baby / or a close relative who will visit regularly having a baby? Yes / No

 

Moving house? Yes / No

 

Having a holiday in the next two months? Yes / No

 

Please confirm that you are happy for a representative of Spirit of the Dog to visit your home to carry out a homecheck and to assess your other pets for suitability of integration with the dog proposed to be re-homed with you, and for one or more further visits WITH the dog to assess it's behaviour amongst your existing pets and children:

 

I agree to these proposed visits, which will be arranged with me:

 

Signed ______________________________________________Date____________________________

 

 

 

Any preference of breed / size / sex / age of dog? ___________________________________________

 

 

Have you owned a dog before? Yes / No How long has it been since you owned a dog? ________yrs

 

Please tick the appropriate box/boxes below:

 

I need a dog already trained I am a first-time owner

 

I have trained dogs before I would be willing to train a dog

 

I am an experienced owner and could train a difficult dog

 

 

Please give details of your household work patterns, and how long, on a regular basis, the dog is likely to be left alone while you are at work:

 

_____________________________________________________________________________________

 

_____________________________________________________________________________________

 

_____________________________________________________________________________________

 

_____________________________________________________________________________________

 

 

Are you planning, or expecting your work pattern to change in the foreseeable future? Yes/No

 

 

Is there a friend or neighbour who has access to the house to let the dog out if you are delayed, or

attending an emergency? Yes / No. Is that person used to dogs? Yes / No

 

 

What type of property do you live in? ___________________________________________________

 

 

Do you have access to a garden? Yes/No Does the garden have a grassed area Yes / No.

 

Is the garden fully enclosed and secure? Yes / No

 

 

Are you prepared to commit to a course of training with the dog, under the guidance of Spirit of the

Dog, and in accordance with the assessed needs of the dog? Yes / No

 

 

Will the dog need to be used to using public transport? Yes / No. If yes, bus /trains /underground

 

 

Have you, or any member of your immediate family ever had any communication with the RSPCA regarding your pets? Yes / No If yes, please give full details overleaf.

 

 

Have you or any member of your immediate family had an animal removed from your care?

Yes / No Please give full details overleaf.

 

Have you ever had an application to re-home an animal declined by any other rescue organisation? Yes / No

 

 

 

 

 

Please read the following

 

  1. Spirit of the Dog cannot make any guarantees as to the health or behaviour of the dog; in some circumstances a dog’s behaviours change in the home, and may differ from each environment. Behaviours may also occur once the dog starts to settle in the home.

 

  1. Rehomed dogs cannot be used for guarding or commercial purposes.

 

  1. Dogs cannot be tied up or confined to outdoor living.

 

  1. Spirit of the Dog does not permit the use of choke / check chains.

 

  1. Spirit of the Dog does not permit the use of electric collars or other such devices.

 

  1. The rehomer is responsible for keeping the dog under control at all times.

 

  1. The rehomer agrees to conform to all legal requirements of dog ownership in the place of residence.

 

  1. If a rehomer is unable to continue to care for the dog, they MUST contact Spirit of the Dog in the first instance, and must not re-home the dog without the agreement of Spirit of the Dog.

 

 

Any further details you wish to give:

 

_____________________________________________________________________________________

 

_____________________________________________________________________________________

 

_____________________________________________________________________________________

 

_____________________________________________________________________________________

 

_____________________________________________________________________________________

 

_____________________________________________________________________________________

 

 

 

 

 

 

 

Completed by : ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­________________________________

 

 

 

Signed_______________________________ Date : ______________________

 

 

To download our form please right click and save as or simply click to open.

Latest News & Events

Dog behaviour consultations and training.

 

Dog behaviour consultations now taking place every 

Wednesday from 2pm - 5pm,

click  here or the image below for more information, courtesy of  Karma Dog Training.

 

 

 

»-  »  ★*... ...*★  «-  «
 
 

Our latest video on

YouTube,

 

 

»-   »   ★*... ...*★   «-   «
 
 

For more news

click here!

 

 

Dog of the Month!
 

Benji.


Our gorgeous 4 year old Border Collie Benji has now been in rescue for nearly a year, he is looking for a working home with lots of collie experience and without children.