(*) The field is required.

1. Name of dog (*)

The basic information about new owner:

2. Your first name and last name (*)

3. Your email (*)

4. Your telephone number (*)

5. Your age (*)

6. City and Country (*)

Information about the dog:

7. The reason why you chose this dog? (*)

8. How long will the dog be alone at home? (hours per day) (*)

9. What will the dog do at home in the daytime? (*)

10. Do you spend your time in nature? Do you do any sport (active/recreational)? (*)
yesno

11. Will the dog have a free movement in your house/flat during your absence? (*)
yesno

12. Where will the dog sleep? (*)

13. How often will the dog go to walk? (*)

14. Are you OK with the fact that the dog adopted from a dog-shelter can behave differently than other dogs? (*)
I agreeI don't agree

Information about the future dog owner:

15. Do you live in your own or rented property? (If you live in a rented property, does the property owner agree with dog adoption?) (*)

16. Do you have any children? If yes, write their age, please. (*)

17. Do your whole family agree with dog adoption? (*)
yesno

18. For whom did you choose this dog? (*)
For me and my family which I liveFor my near family which I don't live dailyFor my friend/sOther

19. Why do you want to adopt this dog? (new family member, guarding, ...)? (*)

20. Where will the dog live? (house, flat, garden....)? (*)

If you live in a house, do you have a fence of appropriate height in the garden?
yesno

22. Who will the dog care for? (*)
Please, you describe, who goes walking with the dog, who goes to the vet, who spends time with the dog, when you are busy.

23. Do you agree with the adoption of a castrated dog? (*)
We are asking this because we want to prevent involuntary births of new puppies.
yesno

24. Have you had a dog in the past? Did you grow up with a dog? (*)
yesno

25. Can you describe your current or last pets? Do you have any pets now?

Animal n. 1 (kind, sex, age, how long are you having he/she or how long did you have he/she and the reason, why don't you have this animal)

Animal n. 2 (kind, sex, age, how long are you having he/she or how long did you have he/she and the reason, why don't you have this animal)

Animal n. 3 (kind, sex, age, how long are you having he/she or how long did you have he/she and the reason, why don't you have this animal)

Animal n. 4 (kind, sex, age, how long are you having he/she or how long did you have he/she and the reason, why don't you have this animal)

Animal n. 5 (kind, sex, age, how long are you having he/she or how long did you have he/she and the reason, why don't you have this animal)

Animal n. 6 (kind, sex, age, how long are you having he/she or how long did you have he/she and the reason, why don't you have this animal)

Animal n. 7 (kind, sex, age, how long are you having he/she or how long did you have he/she and the reason, why don't you have this animal)

Animal n. 8 (kind, sex, age, how long are you having he/she or how long did you have he/she and the reason, why don't you have this animal)

26. Are you having another dog/dogs, which this dog will live together? (*)
yesno

27. What would you do with the dog, when you go on holiday/business trip...? (*)

28. Are there any reasons, why would you return this dog to shelter or look for a new home? (*)

29. What would you do, when the dog destroys things in your house/flat...? What are you doing, when a dog poops inside? (*)

30. What would you do with the dog, when your family situation changes (changing partner, divorce, moving to another city, long-term sick leave...)? (*)

31. If you are not able to care for this dog (e.g. because of serious illness): who cares for this dog? (*)

Feedback:

32. Would you inform us regularly about this dog? We would know, how this dog lives with you and your family, how is she/he. (*)
yesno

Conclusion:

33. Would you add photos of your house/flat/garden/other animals/gifts for this dog/environment for go to walk etc?
Max. size of one picture is 5 MB.

34. Can You arrive at our dog-shelther (City: Trencin, Slovakia) in person? (*)
yesno

35. I agree with processing of my personal data. (*)