Personal Life Questionnaire Form
A simple form that asks basic questions about people's living.
person questionnaire form,personal life questionnaire form,survey form
Street Address Line 2
State / Province
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Cocos (Keeling) Islands
Democratic Republic of the Congo
Turkish Republic of Northern Cyprus
Papua New Guinea
Republic of the Congo
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
Tristan da Cunha
Turks and Caicos Islands
United Arab Emirates
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Facebook Page URL:
How old are you?
What do you do for a living?
I'm a student
I'm my own boss ;-)
Retired and loving it!
Sales and Marketing is my game
I get to work with my hands
I'm a people manager
Call me Dr.
I'm a professional (of some kind)
I don't know what I am actually
Are there children in your home?
How old are they? (Check all that apply)
Any more grownups like you?
Don't mean to be nosy, but could you tell us how many?
And how old are they? (Check all that apply)
Do you have any pets at home?
How many do you have?
What kind of pets are they? (Check all that apply)
Small and furry
Are they all spayed/neutered?
Have you ever owned a pet in the past that is no longer with you?
How many did you have?
What kind of pets were they? (Check all that apply)
Small and furry
Were they all spayed/neutered?
Can you let us know how you lost your pet? (Died of old age, accident, gave away, etc...)
What's your living arrangement?
There's nothing like living in a house with a backyard
My house is my home, but no backyard
Apartment living is for me
A wee condo is where I'm at
Where will your new pet stay during the day?
My pets love the great outdoors.
They will be in my pad.
They will access to both outside and inside.
Where will your new pet sleep during the night?
Nothing like sleeping under the stars
Curled up in bed with me
Crate training is where it's at
I have a dog bed for them in the house
Are you allergic to dogs?
Have you ever bred your pets?
Do you rent or own?
Live with family
What kind of community?
Rural and/or farm community
Is this an application for:
How long are you willing to keep dog safe?
As long as it takes!
How will you help get the dog adopted?
Bring to dog adoption fairs
Put an "adopt me" bandana on him/her and show him/her off everywhere...
Talk about dog to every nice person you meet...
Put flyers up in local vet and pet stores...
Any other ways you can help or ideas you have not listed above?
Please list volunteer organizations, including animal rescue groups, of which you have been or currently are a member.
What is your vet's name, address, and phone number?
Please tell us any limitations you may have on dogs you can foster? (i.e. Size limitations, breed limitations, etc.)
Are you willing to participate in the training/rehabilitating of this dog as needed?
Anything you want us to know that hasn't been covered above?
I have read the above stated application carefully and certify that the information I have given is accurate and true. I understand that any misrepresentation of the above information authorizes Wags and Walks to deny application, and/or reclaim the foster pet that is in my home. I understand the pet in my care is property of Wags and Walks, and any decisions regarding the pet and the pet’s future is that of Wags and Walks. I acknowledge that Wags and Walks cannot guarantee any foster animals against parasites, diseases or destructive behavior. I will not hold Wags and Walks responsible, nor seek any compensation for damages, medical fees or other liabilities incurred by the pet I foster.
Describe the kind or type of dog you are looking for
What are your top 3 favorite breeds of dogs? (Don't worry we wont tell or hold it against you...)
Ideally, how old would you like your dog to be?
A puppy is what I want!
A year or 2 old is perfect for me
A more mature dog suits me
I just want the perfect dog, don't care about the age!
When would you like to take your companion home?
I'm ready NOW!!!
I need a few weeks to get ready.
2 or 3 months is perfect!
Time is not a factor if the right dog comes along :)
What kind of activities do you plan to do with your pet? (Check all that apply)
K9 sports (agility, disc) and/or obedience training
Dog Park and/or parties
Jogging and going for walks
Water activities (boating Kayaking)
Dinner parties and/or social gatherings
What kind of activities will you be doing that won't include your pet?
Bars and clubs
Gym and fitness classes
Lounging and watching TV or reading
Movies and Performance Arts
Volunteering and charity events
Shopping and/or antiquing
Internet surfing and/or social networking
What kind of personality would you like your dog to have?
I need lots of attention, so ideally a cuddly dog that’ll stick by my side
I am the center of the universe and my dog will be too (social butterfly)
I’m so laid back, no high energy dogs for me thanks
I am constantly asking questions, so I need a dog that is as curious as I am
I climb every mountain, so I need a dog that can keep up with me
What is your coat size?
Small! For my dog, the shorter the coat, the better!
Medium! I enjoy the feel of a furry dog, so medium length hair is fine for me.
Long! Give me a long, silky haired dog anytime!
Are you into ’minis’ or ’maxis’?
If my dog could fit in the palm of my hand, I’d be thrilled (miniature)
I’d love it if my pooch could snuggle perfectly in my lap (small)
If my dog can fit in the backseat of my car, it fits perfectly with me (med)
As they say, go big or go home (large)
Are you looking for lively conversations with your dog?
Oh no! Silence is golden!
I don’t mind a few lively exchanges every now and then!
Sure - there is nothing I enjoy more than an ongoing debate with my dog!
If you had a choice, would your new dog come with a training manual?
Yes, I love reading training manuals and putting them into action!
I’d prefer a condensed version - as long dog understands basic commands
No thanks, my new pet has to be completely trained.
How much time will your dog spend away from you?
Very little, my dog will be right beside me always
My dog’s time will be spent most of the day inside while I’m at work
My dog will only be alone for a couple of hours a day
Will you be willing and able to take care of all expenses should your dog become sick or injured?
Would you ever consider putting your dog to sleep if a surgery or treatment was too expensive?
Is there one of our available dogs that you are interested in? If so, which one?
Anything else you think we should know that wasn't covered above?
Last question... How did you hear about us? We would like to know who to thank!
I understand that Wags and Walks is a non-profit organization whose main goal is to help bring people and dogs together. Adoption fees start at $400. (Includes initial vet visit provided by Wags and Walks, microchip, 1st round vaccinations (including rabies), spay/neuter, deworm, and flea/tick treatment and prevention)
I have read the above stated application carefully and certify that the information I have given is accurate and true. I understand that any misrepresentation of the above information authorizes Wags and Walks to deny application, and/or reclaim the pet that is in my home. I acknowledge that Wags and Walks cannot guarantee any animals against parasites, diseases or destructive behavior. I will not hold Wags and Walks responsible, nor seek any compensation for damages, medical fees or other liabilities incurred by the pet I adopt.
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