The Paw'd Squad--Dog Surrender Questionaire

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Dog Surrender Questionaire

he Paw’d Squad is a nonprofit animal rescue that offers animal guardians assistance and advice in the re-homing of their pets. Paw’d Squad is an all-volunteer organization and donations are tax deductible and welcomed.

Before you fill out the questionaire, please read the information from this link: http://www.wonderpuppy.net/canwehelp/.

For The Paw’d Squad to assist you in finding a new home for your pet we must know as much about the pet as possible. Please be honest about issues your pet may have. Many behavior problems can be addressed before attempting to place your pet. Without accurate information pets may be placed in an unsuitable home and that increases the chance that the pet will be returned.

The information you provide will help The Paw’d Squad in assisting you to place your dog. The Paw’d Squad does not guarantee the placement of your dog or provide any time frame for potential placement. The Paw’d Squad cannot and does not accept every dog into its rescue program. Dogs that require training may need to be placed with a trainer before they will become eligible for adoption and a donation may be required towards that training. Dogs that require medical care may need to be treated by a vet before they become eligible for adoption. The Paw’d Squad does not assume the financial responsibility for your dog unless explicitly stated.

The Paw’d Squad is dedicated to the idea of every dog having a forever home and will do everything it can to assist you in placing your dog into a new home. The process may be long and stressful to you and your dog but together we can hopefully achieve the best outcome for everyone involved.

Please fill out as much information as you know about the dog. If you don’t know the answer to the question, please put “unknown” or “n/a” in the blank provided. If The Paw’d Squad accepts your pet into the rescue, they will need copies of any vet records you may have regarding the dog including shot records, spay/neuter certificates and licenses.

Your Name:
Home Phone Number:
E-mail:

Dog Name:

Does the dog know his/her name?: Yes No

Age of dog:

Gender: Male Female

Breed:

Is the dog spayed/neutered? Yes No

Is the dog microchipped? Yes No Don't know

How long has the dog been with you?

What is the dog's history?

Where is the dog kept when unsupervised?

Where is the dog when supervised?

Does the dog use a doggie door? Yes No Don't know yet

How many people does the dog live with now? (If any children are present, please include their age)

What type of animals does the dog live with now?

How does the dog relate to the other animals in the home?

How does the dog react to the other dogs when on the street?

How does the dog react to cats?

How does the dog react to children?

How does the dog react to guests in the home?

Does the dog walk on a leash well? Yes No

What commands does the dog know?

Has the dog ever shown any food or treat aggression? (Please be honest) Yes No

What type of food does the dog eat and what is the feeding schedule?

What type of treats does the dog like?

Where does the dog sleep?

Has the dog ever been in a crate? Yes No Don't know

Does the dog ride in the car well? Yes No Don't know

What veterinarian does the dog see?

Has the dog ever bitten anyone even in a playful manner?
Yes No Don't know

Has the dog ever bitten or shown aggression toward another animal (even if the other animal started it)? Yes No Don't know

Have you tried to place the dog yourself? Yes No

Can you think of any situation that would be ideal for your dog to be placed into?

Can you think of any situation that you think should be avoided in placement?

Please feel free to add any information that you feel may be relevant or helpful in placing your dog.

© 2003-2007 Site design by Matt Barnes.

Special thanks to Dr. Kieltyka for the veterinary work with some of the adoptees and the previous work on this site.