YP Puppy Rescue
Charity Licence - CCP 2425

Dog Pre-Adoption Questionnaire

Just type over the If Applicable (if needed) and or Please Advise as we have made sure that all boxes are completed by default with the blank ones mandatory. Thank You.

* = Mandatory Fields

Contact Information

Please add a value for Name.

Please add a value for Surname.

Daytime telephone number

Evening / Night time telephone no

is not a valid e-mail address.

Please add a value for Address.

Address where animal will be housed (Please include Postcode & Council)

Postal Address (if different to above)

Please add a value for Adoption for.

Who are you adopting the animal for?

If another person, name of person

Animal Information

Invalid Input

Applying for a Dog or Cat ?

Please add a value for Dog name.

Which animal are you hoping to adopt?

Please add a value for Reason.

Please provide some information on why you would like to adopt and why you think this animal will be right for you.


Please add a value for Employed.

Are you currently employed

Please add a value for Type of Empl.

Type of employment

Exercise, Activities & Characteristics

How much exercise would you and your dog enjoy together?

What weekend activities would you expect to enjoy with your dog?

What are the characteristics you most look for in a animal?

What are the characteristics you would least like in a animal?


Please add a value for Previous Pets.

Have you had pets previously in your adult life?

Please add a value for Other pets.

Do you currently have any other pets

If yes, please give details of current pets

If you have animals, are their vaccinations up to date? A copy of current vaccination certificate may be required.

How do your current pets get along with other animals?

Have you had previous experience in any of these?

If yes to Obedience Classes, please provide the name of the club.

Living Arrangements

Please provide the names and ages of the regular occupants of the household.

Is anyone in the household allergic to animals

If yes, please provide details

Who will generally be responsible for the care of the animal.

Is everyone in the household in agreement about adopting a animal.

Do you own or rent your home? If renting, a written letter of approval from the Landlord must be provided, within 1 week from the date of this application, or the application will be withdrawn.

What kind of yard and fencing do you have?

Where will your animal be during the day? Inside or Outside and what type of shelter is provided if outside ?

Where will your animal be located at night? Inside or Outside and what type of shelter is provided if outside ?

What type of building do you live in?

If Other, please explain

Are you happy for us to conduct a yard check?

How will your dog be cared for when you go on holiday?

Health, Care and Expenses

Are you aware of, and prepared for the ongoing costs involved with Animal ownership? Expenses can include: yearly vaccinations, food, worming, flea treatments and unexpected Vet bills.

Additional Information

Have you ever had to rehome or give away a previous pet?

If yes, please explain

If relevant, please provide your current Vet's name

Will this be the vet for this animal?

If no, please provide the details of the proposed vet.

Alternate Vet's address

Alternate Vet's Phone Number if applicable.

If you adopted from us, would you be willing to provide occasional updates (emails and/or photos) as to how your pet is adapting to life with you?

Any further comments you would like to include?

Please advise where you heard about YP Puppy Rescue.


By submitting this questionnaire, you agree that ALL the information you have provided is correct. You understand that providing untruthful answers or failure to comply with the requirements of this application can result in the refusal of this adoption. You understand that in some instances a property check will be required. We reserve the right to refuse any applicant.