Dog Initial Interview Form
Great News! You would like to adopt from Woodside Animal Centre. We just need to get a few details from you. Please fill in the whole form and we ask that you answer honestly so that we can find the right animal for you. Please note... you cannot adopt an animal on behalf of another person.
A few details about you
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Please provide your home address
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Please provide your home postcode
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Please provide your title
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Please provide your preferred title
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Please provide you forename
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Please provide your surname
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Would you like to include a joint applicant?
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Please provide a title for the joint applicant
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Please provide your preferred title
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Please provide the surname of the joint applicant
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Please provide the surname of the joint applicant
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Please provide your contact telephone number(s)
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Please provide your email address
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A little about your home
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What type of property is your home?
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Please describe your home
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Please let us know if you own your home or pay rent
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If you rent, we will need to see written permission from your landlord.
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Please let us know if you have a garden available
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How many people live at home?
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How many people over 18 years old (including yourself) live in your home?
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How many children live in your home?
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Please provide the ages of the children in your home
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Do children visit your home?
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Please provide the ages of any visiting children
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Please let us know the frequency of visits
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Do the children sleep at your home overnight?
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Do you own any other dogs?
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Please state gender, age and breed
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Are your other dogs fully vaccinated?
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(Vaccination cards will need to be seen before re-homing will commence)
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Have your existing dogs been neutered?
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What other animals do you own?
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A little about your lifestyle
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Please let us know if you are planning to move house or go on holiday in the next two months
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Will the dog have human company all day?
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How many hours do you expect to leave the dog alone during a normal day?
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Your experience
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Have you, as an individual, owned dogs before?
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What breeds have you owned previously?
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Please let us know what happened to your previous dogs
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What happens next
A volunteer working with RSPCA Leicestershire Branch (Woodside Animal Centre) will need to visit you to undertake a home visit.
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Do you agree that a volunteer home visitor makes a pre and post home visit (please note that you may be telephoned from a 'withheld number')
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Please sign
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Please sign
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