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Pet Adoption Form
Kindly fill in this form to help us assess the compatibility between you and your potential furbabies. Thank you!
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* Indicates required question
Name of Pet
*
Your answer
1. Name
*
Your answer
2. Mobile No.
*
Your answer
3. Why do you want to adopt a pet?
Companion
For children
Gift
Companion for existing pet
Other:
Clear selection
4. What country are you living in?
Malaysia
Not Malaysia
Clear selection
5. Any plan to move abroad in next 5 years?
Yes
No
Maybe
Clear selection
6. What type of house do you live in?
Condominium/ Apartment
Landed property
Clear selection
7. Do you rent or own?
Rent
Own
Clear selection
8. Do you have any pets currently or previously?
Yes
No, proceed to Question 12
Clear selection
9. What other pets do you have? Where is your pet now? What are they like, e.g. temperament? Are they neutered/ spayed?
Your answer
10. Have you surrendered or re-home a pet you've had before?
Yes
No, proceed to Question 12
Clear selection
11. If yes, why?
Your answer
12. Where will this pet be staying when you travel?
Your answer
13. Where will this pet be when you are at work?
Individual cage
Shared cage
In a restricted area of home
Free to roam
Other:
Clear selection
14. Do you understand that sometimes a complete history and temperament of a rescue pet may not be known?
Yes
No
Clear selection
15. Which reasons are acceptable reasons for giving up your pet(s)? (please check all that apply)
Never, pets are family
Chewing
Age
Incompatible with other pets
Too active
Destructive
Moving
Finances
Not active enough
Allergies
Growling
Potty accidents
Baring teeth
Hiding
Scratching
Biting
Illness
Stealing food
Other:
16. Who will have primary responsibility for this pet's daily care?
Your answer
17. Who will have financial responsibility for this pet?
Your answer
18. Do you agree to provide regular health care by a Licensed Veterinarian?
Yes
No
Clear selection
19. Please rate your experience with pet
Weak
1
2
3
4
5
Strong
Clear selection
20. Will you be willing to let our representative visit your home by appointment?
Yes
No
Clear selection
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