Adoption Questionnaire @ GSGSR

First name
Last name
Street
City
State Due to limited volunteer resources we do not adopt dogs outside of Northern California.
Zip
Email
Primary phone
Alternate phone
What days/times are best to reach you by phone?
Would you like to receive a weekly email of available dogs?

Yes

No

Has everyone in the family discussed and agreed on getting a new dog?

Yes

No

Who will be primarily responsible for the dog's care?
Are you financially prepared to provide regular veterinary care?

Yes

No

Do you need a referral for veterinary care?

Yes

No

Name and city of your veterinarian
Are there children who live in your home?

Yes

No

What are the childrens' ages?
Are there children who visit your home?

Yes

No

What are the childrens' ages?

How often do they visit?
Do you currently have other animals?

Yes

No

Are they inside or outside?

Inside

Outside

Are they spayed and/or neutered?

Yes

No

Livestock?

Yes

No

Please describe your pets, including breed and age

If you used to have pets, what has happened to them?
Do you own or rent your home?

Own

Rent

If you rent, you will be required to complete and submit a "Landlord Permission Agreement" (provided by GSGSR) confirming you're allowed to keep a German Shepherd Dog on the premises.

Current residence is:

House

Condo / Townhouse

Apartment

Farm / Ranch

If you rent, do you have your landlord's permission to own a German Shepherd?

Yes

No
Please describe fencing in the yard or exercise area where your dog will be outside

Fenced yard

Partially fenced yard

Fenced yard area for dog

No fence

"Invisible" fence

Enclosed dog kennel/run

No yard
Indicate height of your fence at its lowest point

4' or less

5'

6' or higher

No fence

How are fence gates secured?
Do you have any known hazards, such as poisonous plants, outside electrical wire, or an unfenced pool with no way for the dog to climb out? Are there any structures that would allow your dog to climb out of the exercise yard?

Yes

No

Please explain:
How much time per day do you plan to exercise your dog? What type of exercise?
Why do you want a German Shepherd Dog (GSD)? (Select all that apply)

I have never owned a GSD, but heard they make good family pets

I had a dog growing up

I have owned other dog breeds before

I have owned several GSDs and love their intelligence, athletic ability, trainability and confidence

I have previously owned a GSD (or similar breed) and want another one to do competitive dog sports with

I am looking for a dog that alarm barks and provides visual deterrant

I am looking for a serious protection or guard dog

I am looking for a dog to train as a working service dog

Please explain:
Please tell us about your experience training dogs. (Select all that apply)

None

Read books and magazines

Attended seminars or took online courses

Pet store, group recreational classes

Private recreational classes

Agility, flyball, other recreational sports classes

Intermediate or advanced classes

Formal advanced training for competitive obedience or dog sports

Earned working titles

Professional level military, service, or law enforcement work

Do you need a referral for dog training?

Yes

No
What kinds of activities do you want to participate in with your dog? (Select all that apply)

Neighborhood walks, backyard games

Visits to dog parks (off leash with other dogs)

Games, tricks, household obedience, hikes, jogging, camping

General dog companionship

Structured obedience, recreational sports, canine good citizen

Competitive dog sports (e.g., agility, flyball, herding, tracking, schutzhund, field trials, nose work)

Other

Please explain:
How long will your dog be unsupervised/without human companionship during the typical weekday?

Rarely

2-4 hours

4-7 hours

7-10 hours

More than 10 hours
Where will your dog spend most of its time?

Inside mostly

Inside when you're home, outside when you're gone

At dog daycare or with a pet sitter

Mostly outside in yard, rarely in house
Where will your dog sleep at night?

Garage

Outdoors in kennel or dog house

Inside with family
What type of dog would you prefer?
Gender:

Male

Female

No preference

Age: (Select all that apply)

Puppy (under 1 yr)

Young adult (1-3 yrs)

Adult (3-6 yrs)

Senior (7+ yrs)

No preference

Color: (Select all that apply)

"Classic" black and tan

Bi-color black and tan

Sable

All black

All white

No preference

Coat:

Short

Long

No preference
Where did you hear about our organization? (Select all that apply)

Golden State GSR Website

Petfinder.com

Another rescue group

Craigslist

Animal Shelter

Facebook

Friend

Veterinarian

Other

Please specify:
Are you working with any other rescue groups or shelters to find a dog?

Yes

No

If yes, please list:
Note we do not share adoption questionnaires, you must complete our form in order to adopt our dogs.
Are you interested in any particular dogs and/or do you have any additional comments to help us find the right dog for you?

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Adoption Questionnaire

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