|If yes, please describe them. Include details about their species, breed, age and temperment. Also let us know if they are spayed and/or neutered or microchipped.
If you have one, please provide your veterinarian’s name and contact information.
If you have had pets in the past, please tell us about them. Include details about their species, breed, whether or not they were spayed and or neutered and/or microchipped. Also, please let us know if they passed away, if they were lost or something happened to them, or if they are living with someone else at present.
Do you own or rent your place of residence?
If you rent, please provide your landlord’s contact name and information, if we can contact him or her:
Tell us about your family or household. Please include details such as the names and ages of your family membes or housemates, as well as their relationships to you.
Is everyone in agreement to adopt a dog as described above? Yes
I would best describe my home
I would best describe the noise and activity level in my household as follows:
In terms of housekeeping, I would best describe my household as:
Neat and tidy
If there are any pet behaviors that you or any of your household members will not tolerate, please describe them.
If a new household member arrived at your residence, and that person feared, disliked or was allergic to this pet, what would you do?
If your pet became lost, what would you do to find him or her?
What will you do with your pet, if you are forced to evacuate, as the result of a hurricane or other natural disaster?
If this is an out of state adoption, please indicate the manner in which you would prefer to take custody of the pet:
Sponsor the cost of my pet’s air transportation
Travel to Louisiana to pick up my pet
Accept custody of the pet, when he or she is delivered by the HumaneSociety of Louisiana or cooperating local shelter
If you could not continue to keep this pet for any reason, would you agree to return him or her to us, even if the pet is located in another state at that time? Yes
Are you agreeable a pre-adoption home visit at your residence, before you take custody of this pet. Yes
If you would like our Adoption Counselor to speak with you about any of the following topics, please indicate them:
What to feed my dog and how often
Introducing your new dog to your other pets
Introducing your new dog to other family members
Boarding or other care options for your dog, when you are out of town
Bad habits, such as jumping up, counter surfing, scratching furniture, etc.
Is there anything else you would like to discuss with us concerning this adoption?
Thank you SO much for taking the time to
complete this survey!!
An Adoption Counselor will be in touch with you soon.
We’ll do our best to match you with the perfect dog,
who best suits your lifestyle and would thrive in your household.