Adoption Questionnaire ADOPTION FEES APPLY TO ALL PETS NEEDING HOMES! Your Name (required) Your Email (required) Phone Number (required) Please enter in which county you are in to help us to plan your home check. CarlowCavanClareCorkDonegalDublinFermanaghGalwayKerryKildareKilkennyLaoisLeitrimLimerickLongfordLouthMayoMeathMonaghanOffalyRoscommonSligoTipperaryWaterfordWestmeathWexfordWicklow Address Any other directions you can give to help us plan your home check If you are looking to adopt a cat/kitten please state here - no need to provide info regarding dogs in sections below just add N/A Why are you looking for a dog? (Security, companion, company for other pet, etc…) How many hours during the day might the dog be left on its own? Are you interested in an indoor or outdoor dog Don't mindIndoorOutdoor Are you interested in a specific dog or dogs? YesNo What size of dog are you thinking of? Don't mindTinySmallMedium Large What age of dog are you thinking of? Don't MindUnder a year1-4 Years4-8 yearsSenior dog If yes, please enter the name/breed of the dog you are interested in. How many people live in your home (please insert a digit)? What age bracket are the adults living in your household? 18-4041-6061+ Do you have anyone living/visiting on a regular basis with pet allergies/Asthma in your household? YesNo Will the dog be living with, or in contact with, children? YesNo If yes, what are their ages? What kind of accommodation do you have? HouseTownhouseApartmentOther Are you the home owener? YesNo If you are in rented accommodation we require written permission from your landlord saying pets are allowed. Do you have a fenced yard, dog run or neither? Please describe your set up. Do you own any other animals? If yes what species? Do you have a dog or dogs at the moment? YesNo If yes, are they neutered/spayed? YesNo Thank you for taking the time to provide us with some of your information! It will help us to match the most suitable pet for you.