Arrow's Heart Animal Rescue Pre-Adoption Questionnaire: Thank You For Your Cooperation, Time, and Interest!

AHAR Use Only.
Approved? If not approved, Why?
Name of Volunteer who processed this application?
Name of Applicant?
Name of animal(s) party is interested in?
Arrows Heart Animal Rescue Pre-Adoption Questionnaire

A complete questionnaire helps us successfully match the right animal with the right family. An incomplete
application can result in the improper adoption of an animal. An improper placement is tragic and we strive to
find these wonderful animals and potential adopters the perfect fit. Please be as specific as possible, fill out this
form completely, and answer all questions honestly. Incomplete or unsigned applications will not be considered.
If a question does not apply write N/A. Feel free to add your own comments. This is an application, not an
agreement to adopt an animal.
Thank you for your cooperation, time, and interest!

Name: Click here to enter text. Date: Click here to enter a date.
Address: Click here to enter text.
City: Click here to enter text. State: Click here to enter text. Zip: Click here to enter text.
Phone number: Click here to enter text. Alt. Phone number: Click here to enter text.
Email address: Click here to enter text. Alt. Email Address: Click here to enter text.
Are you at least 18 years old? Choose an item.

How many adults are in the household? Click here to enter text.
How many children (under 18)? Click here to enter text. Please list ages of children: Click here to enter text.
Are you expecting a child or planning a family in the near future? Choose an item.
Are you expecting any big life Changes in the future? (E.g., moving, going to school, starting a new job and
getting married.) Choose an item.
If yes,
What are they? Click here to enter text.
Have you thought about how these changes will affect your new pet? Choose an item.
Do you Rent or Own? Choose an item.

Type of dwelling: Choose an item. Type of Setting: Choose an item. Size of Yard: Choose an item.
If you rent an apartment, or house, does it state in your lease that pets are allowed? Choose an item.
Are there any weight restrictions? Choose an item. Animal Limits? Choose an item.
If so, what are the restrictions/limits? Click here to enter text.
Many insurance policies have breed bans does your insurance have a breed ban? Choose an item.
If so, which breeds are included? Click here to enter text.
How close is the nearest highway/busy road to your home? Click here to enter text.
How many consecutive hours a day are you away from home for work, school, etc? Click here to enter text.
Are you aware of the animal leash and license laws in your city? Choose an item.
Are you aware of the animal limit in your city? Choose an item.
Pre-Adoption Questionnaire Page 1 of 4

Have you ever adopted an animal(s) from Arrows Heart Animal Rescue before? Choose an item.
If so, what was the name of the animal(s) while they were in our program, and when did you adopt it? Click
here to enter text.
If you are interested in a particular animal, please specify who: Click here to enter text.
If you dont have a specific animal in mind what characteristics are you looking for in an animal? (E.g., breed
size, age, personality and energy level). Click here to enter text.
Do you agree to returning the animal to Arrows Heart Animal Rescue, should you no longer be able to keep
the animal? Choose an item.
Does anyone in your household have allergies? Choose an item.

If so, what type of allergies? Click here to enter text.
Do you have a securely fenced in yard? Choose an item.

If so, how tall and what type is the fence? Click here to enter text.
If you do not have a fenced in yard, how will secure him/her when outside? Click here to enter text.
Where will this animal live? Choose an item.
If the animal will not be living in the home, what will the animals environment consist of? (E.g., free run,
kennel, and barn/garage). Click here to enter text.
How many hours a day will your new pet spend outside? Choose an item.
Where will the animal sleep? Be specific (kitchen, crate, bed, etc.) Click here to enter text.
Where will the animal be kept when no one is home? Click here to enter text.
Where will the animal stay when you/your family go on vacation? Click here to enter text.
99% of our foster homes crate their dogs, and very few let the dogs have free roam of the house. This not only
helps prevent accidents, but also decreases the chances of destructive chewing. We strongly recommend crating
your new dog at first. In time, s/he could probably be weaned from the crate.
Do you plan to use a crate? Choose an item.
If so, on what occasions do you plan to use a crate and for how long? Click here to enter text.
You need to have realistic expectations of how an animal will act right after s/he has been adopted. All pets will
go through a transition period as they adjust to their new home. This is normal, and to be expected. Adjustment
periods could take 2 weeks to 6 months before your new pet feels at home.
Will you be patient with your pet and allow him/her to transition into his/her new home? Choose an item.
What is your definition of disciplining your pets? Click here to enter text.
What is your definition of training? Click here to enter text.
How do you plan to exercise your new pet? Click here to enter text.
Have you ever had to give up a pet before? Choose an item.

If yes, please explain the situation. (e.g. to whom, why and when): Click here to enter text.
Under what conditions would you not keep your new pet? Click here to enter text.
What will you do if you have to move out of your current dwelling? Click here to enter text.
Have you ever moved from one residence to another without taking your pet? Choose an item.
What will you do if the animal grows to be larger than you expected? Click here to enter text.

Do you currently own other pets? Choose an item.
Are there other animals living in your household or on your property? Choose an item.
Please tell us about your current dog(s), if any. Please list the following information: breed(s), gender, age,
whether or not the dog is spayed/neutered, and whether the dog lives indoors or outdoors. Click here to enter
text.
Please tell us about your current cat(s), if any. Please list the following: age, gender, whether or not it is
spayed/neutered, and if the cat lives indoors or outdoors. Click here to enter text.
Please tell us about any other current pet(s), if any. Please list the following: species, age, gender, whether or
not it is spayed/neutered, and if the animal lives indoors or outdoors. Click here to enter text.
Please list any pets that you have previously owned, along with the following information: Breed/Species,
how long the pet was owned, whether it was kept indoors or outdoors, if it was spayed/neutered, and where
pet is now (if deceased, list cause of death). Click here to enter text.
What is the name and location of the vet you are seeing/will be seeing? Click here to enter text.
We love all of the animals that come to Arrows Heart Animal Rescue and become attached to our fur kids. Do
you agree to allow follow-up contacts or visits to see how everything is going? Choose an item.
It is very common for animals to have accidents in their new home as they get acclimated to their new
environment and schedule. Do you understand that it might take your pet anywhere from two weeks to six
months to adjust to its new surrounding and for its true personality to emerge? Choose an item.
References:
Please list 2 NON-FAMILY references below (vet references are preferable):
Name: Click here to enter text.

Relationship: Click here to enter text.
Phone number or email: Click here to enter text.
How long have you known Reference #1? Click here to enter text.
Name: Click here to enter text.

Relationship: Click here to enter text.
Phone number or email: Click here to enter text.
How long have you known Reference #2? Click here to enter text.
************************************************************************************
Thank you for taking the time to complete this application. Your cooperation is appreciated! Please
check over your answers - incomplete or unsigned applications will not be considered. Use "N/A" if a
question does not personally apply to you. Before signing this questionnaire, please familiarize yourself
with our adoption contract, 7-day trial period, and return policy.

I, the undersigned, attest that, to the best of my knowledge, the above information is accurate and complete at the
time of signing. I understand that falsely provided information can mean that my application will be terminated
and repossession of the animal may occur.
(Please sign and date - if you are completing this electronically, please write e-signature after your name.
Example: Buster Brown e-signature).
Signature: Click here to enter text. Date: Click here to enter text.
We at Arrows Heart Animal Rescue are unable to accept every application for adoption. We have specific
criteria for each animal and believe that it is in the animal's best interest to match them in the right home.
Applications are PROCESSED on a first come, first served basis, but are APPROVED based on what is best for
the animal. We have set guidelines for application acceptance and we understand that your opinion may differ
from ours. Thank you for understanding.

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Arrow's Heart Animal Rescue Pre-Adoption Questionnaire: Thank You For Your Cooperation, Time, and Interest!

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Copyright:

Available Formats

AHAR Use Only.

Approved? If not approved, Why?

Name of Volunteer who processed this application?

Name of animal(s) party is interested in?

Arrows Heart Animal Rescue Pre-Adoption Questionnaire

Thank you for your cooperation, time, and interest!

Are you at least 18 years old? Choose an item.

Do you Rent or Own? Choose an item.

Pre-Adoption Questionnaire Page 1 of 4

Does anyone in your household have allergies? Choose an item.

Do you have a securely fenced in yard? Choose an item.

Have you ever had to give up a pet before? Choose an item.

Pre-Adoption Questionnaire Page 2 of 4

Name: Click here to enter text.

Name: Click here to enter text.

Pre-Adoption Questionnaire Page 3 of 4

Pre-Adoption Questionnaire Page 4 of 4

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