GAIN Adopters Questionnaire

This questionnaire helps GAIN make a good match between adopters and pets, helps prioritize which information to discuss with you, and identify resources to help make your adoption successful.

Your Title
Your First Name *
Your Last Name *
Physical Address *
Village or City *
Territory or State *
Zip Code *
Mailing Address * Please enter your mailing address if different from the physical address.
Village or City
Territory or State
Zip Code
Email Address *
Do you wish to opt out of future emails from GAIN?
Mobile Telephone Number
Home Telephone Number *
Work Telephone Number
Which number would your prefer us to call?
This pet is intended as a gift. I am answering the following questions from the perspective of the lucky recipient. *
We welcome adopters who rent, or live in an apartment or condo. We want to alert you that some landlords or buildings have pet policies restricting size, breed, number of pets, and/or require pet deposits or additional fees.
How many adults live in the new pet's household? *
How many seniors live in the new pet's household? *
How many children live in the new pet's household? How old are they? *
Tell us about pets at home (select all that apply):
Any other info you would like to share?
We'll explain this new pet's medical and behavioral history. Please check any additional topics you would like to discuss:
Any other questions you have for us?
What is the name of the animal you would like to adopt? *
Do you have an alternate choice?