| Name |
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| Email |
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| Subject |
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| Message |
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| Address and Phone Numbers |
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| 1. Do you currently own pets? |
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| 2. What type of pet are you interested in? |
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| 3. What is the name of the pet you are interested in? Why do you want to adopt this one? |
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| 4. Are you adopting for yourself or a family member? |
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| 5. Are you 18 yrs of age or older? |
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| 6. Do you own your own home or rent? |
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| 7. If renting, does your building allow pets? |
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| 8. Do you have children in your home? Ages? |
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| 9. If adopting a cat, will he/she be kept indoors? |
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| 10. If adopting a dog, explain your outdoor area. |
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| 11. What are your thoughts on spaying and neutering? |
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| 12. Are you willing to have your pet spayed or neutered when required? |
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| 13. Do you have a vet? |
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| 14. Have you adopted from us before? If yes, what was the name of the pet? Where is this pet now? |
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| 15. Are you planning to move in the next few years? What will you do with the pet? |
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| 16. Under what circumstances would you not be able to keep this pet? |
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| 17. What is your opinion of declawing a cat? |
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| 18. Are you allowed to have only declawed cats? |
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| 19. If you adopt from us, would you object to a home visit by one of our volunteers? |
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| 20. How did you hear about our organization? |
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| 21. Additional information you feel we should know? |
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