1.
I have owned a dog before.
Yes
No
2.
The last time I had a dog was...
-- --
2-10 years ago
more than 10 years ago
within the last year
3.
My dog needs to get along with my other dogs.
Yes
No
If "YES", please list their names, ages, genders & breeds
4.
My dog needs to be good with...
(select all that apply)
children over 8 years old
children under 8 years old
elderly people
cats
animals other than dogs or cats
5.
My dog will primarily be an...
-- --
inside dog
outside dog
6.
How many hours will your dog spend outside per day?
hours
7 .
Do you have a fenced yard?
Yes
No
If "YES", what type of fence is it?
-- --
invisible
chain-link
wood privacy
other
If "OTHER", please describe
If "YES", how high is the fence?
-- --
3 ft.
4 ft.
5 ft.
6 ft.
8.
My dog needs to be able to be alone...
-- --
2 hours or less per day
4 hours or less per day
8-10 hours per day
12 hours per day
9.
When I'm at home, I want my dog to be by my side...
-- --
all of the time
some of the time
little of the time
10 .
When I'm not at home, my dog will spend its time...
-- --
in the garage
in a crate in the house
in the yard
loose in the house
in one room in the house
11.
I want a guard dog.
Yes
No
12.
I want my dog to hunt or herd with me.
Yes
No
13.
I want my dog to be the type that is very enthusiastic in the way s/he shows s/he loves people.
-- --
not at all
somewhat
very
14.
I want my dog to be playful.
-- --
not at all
somewhat
very
15.
I want my dog to be laid back.
-- --
not at all
somewhat
very
16.
I am comfortable doing some training with my dog to improve manners such as jumping, stealing food and pulling on the leash.
-- --
no training
some training
a lot of training
17.
I (or my children) want to compete in Agility, Flyball or Obedience with our dog.
Yes
No
18.
I am interested in a dog with "special needs" (medicinal or behavioral)
Yes
No
19.
How much do you think you'll spend yearly for the care of your dog? (food, medical care, boarding, toys, etc.)
$
Name
*
Phone Number
*
Address
City, State
Zip Code
Email Address
*
Are you over 21 years of age?
** Adopters will be asked to show proof of valid identification.
Yes
No
Have you ever adopted with us in the past?
If yes, when?
Yes
No
How did you hear about Mackenzies?
-- --
Petfinder.com
1800SaveAPet.com
Other Internet Search
TV Commercial
Cinema Preview Ad
The Pet Files on WOOD radio
Rick and Scott
Newsletter
Flyer, Brochure
Veterinarian Referral
Newspaper Ad
From Friends/Family
Other
Dog(s) interested in?
Any other details you would like us to know?
Yes, I would like to receive Mackenzie's newsletter.
Email
Postal Mail
* Required Fields