Additional Information
If any of your current or past pets were not spayed or neutered please explain why:
How much do you think the average pet cost per year is (excluding emergency care)?:
Please list any other members of your household and their ages:
Have you ever given an animal away to a shelter, friend, or family member?:
Yes
No
If yes, please explain:
If you move what will you do with your pet?:
What will you do if where you move does not accept pets?:
Have you ever adopted from a shelter or rescue?:
Yes
No
If yes, please list the organization('s) name and the year(s) adopted:
If there are other members in your household, do they also wish to adopt this pet?:
Yes
No
Split Decision!
Is anyone in your household allergic to animals?:
Yes
No
How long will the pet be left alone during your working hours?:
What do you plan to do with the pet while you are gone?:
This ends the questionnaire for pets other than canines. We thank you for your interest and time. Please scroll to the bottom of the page and click the Send button to submit your questionnaire. If you are interested in a canine, please continue below.
The following questions are for Canine applications ONLY!
By answering the following questions you will help PACC to match you with the best suited pet for your family and lifestyle. Please answer as honestly as possible, as there are not right or wrong answers.
Do you have a yard?:
Yes
No
If yes, how large is your yard?:
If yes, if your yard fenced?:
Yes
No
If your yard is fenced, please describe the type of fencing used:
What size dog are you looking for?:
Toy: Less that 15lbs.
Small: 16 - 30lbs.
Medium: 31 - 55lbs.
Large: 56 - 85lbs.
Giant: 86lbs.+
What type of coat do you prefer?:
Slick
Short
Medium
Long and silky
Fluffy
Curly
Undecided
Shedding will bother me:
Not at all
A little
A lot
Can't handle it
Do you have a breed preference?:
Yes
No
If yes, please explain why:
Are you willing to use crate training?:
Yes
No
Don't know enough about it
Please check any of the following that you hope your new dog will enjoy (CTRL-Click to select multiple items):
Swimming
Riding in the car
Playing fetch
Agility-flyball
Jogging
Camping-biking
Will you take your dog to obedience classes?:
Definitely
Possibly
Not likely
If obedience classes were offered free of charge would you be:
Extremely Interested
Somewhat interested
Not at all interested
I would like my dog to sleep:
In his/her crate
Loose in the house
In my bed or bedroom
In the garage
Outside
I would like my dog's personality to be:
Extremely active
Somewhat active
Laidback but playful
Couch potato
I would prefer a dog in this age range:
Under 12 weeks
Under 6 months
Under 1 year
1 - 3 Years
Over 3 years
Please choose between 1 and 4 points for each of the following questions.
1 - No Problem
2 - Workable
3 - Workable with professional help
4 - Intolerable
Excessive barking and whining while alone or crated:
1
2
3
4
Accidents in the house:
1
2
3
4
Getting in the trash:
1
2
3
4
Begging for or stealing human food:
1
2
3
4
Aggression towards other dogs in the family:
1
2
3
4
Aggression towards unknown dogs:
1
2
3
4
Aggression towards strangers:
1
2
3
4
Aggression towards family members:
1
2
3
4
Aggression towards cats:
1
2
3
4
Rushing open doors or gates:
1
2
3
4
Digging:
1
2
3
4
Escaping from the yard:
1
2
3
4
Chewing:
1
2
3
4
Pulling on lead:
1
2
3
4
Being timid around new people and new situations:
1
2
3
4
Jumping:
1
2
3
4
Hyperactivity:
1
2
3
4