Adoption Questionnaire

Mary's Dogs Rescue & Adoption wants to place the dogs we rescue in homes that are compatible with their needs and the needs of their new family.

Please complete this important questionnaire as completely as you can. Thank you.

* = required field

First Name *

Last Name *

Email *

Address *

Apt/Unit Number

City *

State *

Zip *

Mailing address if different from physical address

Preferred Phone Type *

Preferred Phone Number *

Secondary Phone Type

Secondary Phone Number

How did you hear about Mary’s Dogs Rescue & Adoption? *

If other, please explain

Have you adopted from Mary’s Dogs before? *

Do you know someone with a Mary`s Dog? *

If Yes, please provide their name

Do you have any applications pending with other rescues? *

Renters are required to provide name and phone number for your landlord. Adults living with family members must provide the homeowner as a “Landlord.”

Housing Type *

If other, explain

Own/Rent *

Landlords Name

Landlords Contact Info

How long have you lived at this address? *

Does your home have any pet restrictions? *

Home many people live in your home? *

Please provide ages and relationship (include your own age please). *

If you do not have children living in your home, do you have children that visit? *

If yes, provide age and frequency of visits

Are all family members aware and approve of adopting a dog? *

Any known allergies? *

What is your daily schedule *Please be specific

On average, how many hours per day will a dog be home alone? *

When your dog is home alone, do you plan on crating your dog? *

Where will your dog sleep? *

Do you have a fenced yard? *

If you have a fence, is it partially fenced or fully fenced? What type of fence and what height?

Have you personally owned and been financially responsible for a dog? *

If yes, how did you train your dog to walk on a leash or to learn a new skill?

Have you attended obedience training with a dog? *

Have you ever had to hire a professional trainer? *

Are you familiar with the costs associated with training? *

How do you plan on training your new dog? *

Many dogs react well to obedience training. Training often solves other problems like chewing, housetraining, and marking. Are you willing to take your new dog for obedience training if needed? *

What dog(s) are you interested in? *

Should the dog(s) you applied for be adopted prior to completing the approval process, are you still interested in learning about other dogs? *

Age preferences? *

Gender preference? *

Size preference? *

Breed preference? Leave blank if none

What characteristics do you value in a dog? *

What behaviors concern you the most? *

Have you ever returned, surrendered or rehomed a pet? *

If yes, please explain:

How would you discipline a dog that would not come when you called him? *

How would discipline a dog who is growling at a visitor or another dog. *

How would you discipline a dog that had a housetraining accident during the day while you are out? *

If your dog needed slow introductions to guests, children or other animals, how would you provide a slow introduction? *

How much time are you prepared to give a new dog to settle into your home? *

What pets live in your home now or within the past 5 years? *Name, age, species, breed, gender, spayed or neutered

Who is your current or former vet? *PLEASE list all vets your pets have seen.

Vet contact information *

Incomplete vet information is certain to hold up the approval process.
Please let your vet’s office know to expect a call from a Mary's Dogs Team Member and
that you give permission to release information to us.

Two References. (Make sure to include cell phone numbers for each reference)

Reference One *Name, Cell Phone #, Relationship to applicant

Reference Two *Name, Cell Phone #, Relationship to applicant

Important
Please note:

Your dog must live indoors with plenty of access to outside fun with you.
If the adoption does not work out for any reason, Adopter shall first offer Dog to Mary's Dogs at no cost.

Thank you for being the Hero in a dog’s life!

Ready to Adopt?
Complete our Questionnaire

Help Support Our Mission!

Mary's Dogs Rescue & Adoption is a 501(c)(3) tax exempt charitable organization and gratefully accepts any and all donations. Your donation is tax exempt and will help continue our outreach to southern shelters and rescues, and sponsor animals that need special care.

Thank-you for your generous donation!

Donate Today!

Shop our Wishlist on Chewy and for every purchase, Chewy will donate a percentage of the proceeds back to Mary’s Dogs. Thank you!

Adoption Questionnaire

Ready to Adopt? Complete our Questionnaire

Help Support Our Mission!

Ready to Adopt?
Complete our Questionnaire