Dog Selection Assistance Form

First name

Last name

Phone

Pronouns

Email

Address

Preferred form of communication

Email

Call

Text

Please list the members of your household and their ages.

Describe your daily routine.

Describe the home where you live. Include information about space, stairs, restricted areas, etc.

Describe your yard or area you intend to exercise your dog. Include information about size, fencing, outside environment such as a rural or urban type location.

What activities outside of work/school do you do regularly?

How often do you travel or go out of town for the weekend?

How much time will you be able to dedicate to training, housebreaking, walking, play time, etc.?

How much time per week will you be able to dedicate to taking your dog on outings and socializing your dog?

Describe your experience with raising dogs? Has it been a long time?

Did you have any dog breed preferences (or mixed breeds)in mind ?

Check your shedding preference

I can handle any amount of shedding

A little shedding is ok

I need a non-shedding dog (I will get the hair cut off myself)

No preference

What level of grooming maintenance are you comfortable with?

EASY! Occasional baths and some wiping down with a towel.

A little: Regular brushing bathing as needed I don't want to have to worry about matted hair.

Moderate: Brushing and combing at least once a week and hair cuts every month and a half.

Advanced: I want to make grooming my dog one of our hobbies we do together. I don't mind spending a long time making my new family member look their best!

No Preference

Describe your main reason for wanting to get a dog?

Please give a few descriptive words for what you feel would be the ideal dog personality for you.

Please fill out the following section if your main desire is to acquire a service dog prospect.

What symptoms or situations will you need a service to help you with?

What types of tasks would you like you service dog to perform or help you with?

Will your dog need to go to work, and what would be the nature of your work?

Will the dog need to attend a school?

Will the dog need to use public transportation?

What hobbies or activities would you like your dog to accompany you to that might require special training?