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More About Liz
Liz’ Professional Bio
Liz’ Pets
Pre-Adoption Questionnaire
Your Name
Phone #
Address
City
State
Zip
Email Address
Describe your existing pets
Describe your pets in the past
What happened to your previous pets?
May we contact your vet? Please provide their
address & phone number.
Existing pets up to date on vaccinations?
YES
NO
NA
Existing pets' licenses up to date? Please
provide any license numbers.
Existing pets spayed/neutered?
YES
NO
NA
Fenced in yard? [not required for adoption]
YES
NO
If adopting a cat, will you let it outside?
YES
NO
NA
Do you own or rent? Please indicate
house,townhouse, apartment, etc. Also mention
any homeowner's association rules which may
apply.
If you rent, provide landlord's phone number. If
you have a homeowner's association, please
provide phone number.
How will you excercise your new pet?
Where will you keep your pet when you aren't
home?
Who is home during the day?
Where will your pet sleep?
Where will your pets go if you go away?
Please explain why your household is the best
possible home for this animal.
List number and ages of children, including
pregnancies.
Number of elderly in your home?
Any dog/cat aggressive animals in your home?
YES
NO
Are you willing to take obedience classes if
adopting a dog?
YES
NO
NA
Are you willing to work with behavior
modification if adopting a cat?
YES
NO
NA
Have you read the adoption contract, and are
willing to comply?
YES
NO
Do you have any questions?
Are you willing to answer more questions?
YES
NO
Will you allow a home inspection prior to
adoption?
YES
NO
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