Don't Go Astray Inc. Adoption Questionnaire
An adoption questionnaire to help us match the perfect animal with your family.
Your First Name
*
Your Surname
*
Email Address
*
Residential Address
*
Mobile Number
*
Proof of ID (drivers license/passport)
*
Occupation
How many hours will your animal be alone each week?
Do you have your own means of transport?
No
Yes
Type of residence?
Home
Apartment
Rural Property
Do you own or rent your home?
If you are renting, please provide proof of evidence that you're allowed to house animals?
Is your yard ? Fenced / Unfenced
Can you please provide photos of your home of areas animals will occupy? (fencing) Please note. Not applicable for Cat applications as we rehome to inside only cats
Can you please provide photos of your home of areas animals will occupy? (back yard). Please note. Not applicable for Cat applications as we rehome to inside only cats
Can you please provide photos of your home of areas animals will occupy? (inside areas)
Can you please provide photos of your home of areas animals will occupy? (inside areas)
I am interested in adopting?
Dogs
Cats
Rabbits
Guinea Pigs
How many adults and children (include age of children) are living in your home?
*
Please name the animal you have seen Don't Go Astray Inc. advertise that you’re interested in?
Why do you think this animal is suited to your family/home?
*
Have you previously had a pet?
No
Yes
Do you currently have pets? If so please state; species, age, breed, sex
Are these pets up to date with vaccinations and sterilisation?
No
Yes
Do your animals get along with other animals ? Please comment on any additional information on animals temperament/socialisation
Do you have a regular Veterinary Hospital?
No
Yes
Veterinary Hospital Name & Contact Number
I agree to continue any medical treatment once adopted, as instructed to do so by Don't Go Astray Inc.?
*
No
Yes
I understand that Don't Go Astray Inc. rehome indoor only cats & if adopting a cat, will ensure it remains as an indoor cat.
*
No
Yes
I agree to contact Don’t Go Astray Inc. immediately if this animal becomes lost or I can no longer provide care?
*
No
Yes
I understand that Don't Go Astray Inc. rehome indoor only cats & if adopting a cat, will ensure it remains as an indoor cat.
*
No
Yes
I understand that payment for adoption has to be upfront?
*
No
Yes
I understand Don't Go Astray Inc. will allow a 2 week trial for you to get to know the animal. In this trial if it does not work out you will be issued with a full refund. After the 2 week trial no refund will be issued.
*
No
Yes
I agree to treat this animal as a beloved member of the family, including providing a safe and loving home, a balanced diet, veterinary care and professional training as necessary?
*
No
Yes
All of the information I have provided is correct and true?
*
No
Yes
I understand that by completing an adoption questionnaire does not guarantee a successful adoption application?
*
No
Yes
