EmailMe Form - Adoption Questionaire

Name *

First Last

Email *

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone

### - ### - ####

May I text? *

Yes

No

Is there a particular dog you're interested in?

When are you looking to adopt?

Who lives in your home? Please include ages of any children under 12 years of age.

Do you have a house, apartment, or condo?

Do you work outside the home? If so, full time or part time?

If you do work outside the home, what do you plan on doing with your dog while you are gone?

Do you currently have any dachshunds or other dogs/cats? Please include genders.

Have you ever owned a dachshund?

Have you ever adopted an adult before?

Are you wiling to make the commitment to potty training/housebreaking an adult dog?

Do you have a vet you currently use or have used in the past? Please list their information.

Tell me a little bit about why you want to adopt an adult dachshund.

Female or Male?

What age range?

Adult

Senior

Would you consider a special needs dog?

What coat type do you prefer?

Shorthair

Longhair

Wirehair

Silky wirehair

Preferred size?

Under 10 pounds

10-15 pounds