SURRENDER QUESTIONNAIRE

    APPLICANT CONTACT INFORMATION

    DOG INFORMATION

    Please describe the dog's Color/Markings

    Why are you wishing to surrender this dog?

    DOG HEALTH/MEDICAL BACKGROUND

    Does the dog have any known allergies?

    Has the dog ever had a long term illness or required surgery in the past?

    Is the dog on any special medications?

    ABOUT YOUR DOG

    What type of dog food do you feed?

    How much per day?


    Please explain the situation in which the bite incident occurred.

    Tell us about the dog's favorite toys and games


    If Yes, Please Explain

    Is the dog ever destructive(i.e. chewing, digging, etc)?

    If Yes, Please Explain

    Does the dog bark a lot?

    If Yes, Please Explain

    Has the dog been around small children?

    How does the dog do with them?

    Did the dog live with other dogs?

    How does the dog interact with them?

    Has the dog lived with cats?

    If Yes, How does the dog interact with them?

    Has the dog had exposure to dogs outside the home?

    If Yes, How does the dog react?

    Does the dog have any issues going up and down steps/stairs?

    If Yes, Please Explain

    Does your dog socialize with other dogs outside of its own family? Examples: dog parks, dog meetup groups, dog clubs, dog friendly restaurants, other venues where dogs are allowed and able to be social

    Where does the dog sleep at night?

    Additional questions about your dog

    Is the dog aggressive with people over food or treats?

    Is the dog aggressive with people over toys?

    Is the dog aggressive with other pets over food or treats?

    Is the dog aggressive with other pets over toys?

    Is the dog house trained?

    Is the dog crate trained?

    Is the dog accustomed to walking on a leash?

    Is the dog frightened by thunderstorms?

    Is the dog a good traveler?

    Is the dog usually crated when riding in a car?

    Some dogs have sensitive areas i.e. old injuries, arthritis, etc. that puts the dog in pain when picked up. Others do not have trust that allows them to be picked up. Can your dog be picked up? If not, please describe in detail the circumstances.

    Nail trimming brings out the best or worst in our dogs. Is nail trimming a multi-person event and a muzzle is required? Is nail trimming a tranquil, spa-like routine at your house or something in between. Please describe what nail trimming is like with your dog.

    How would you describe the dog's personality, temperament and behavior?

    Any additional information you would like to add?

    Before a decision is made, would you be willing to allow a member of Sunshine Corgi Rescue visit with you and the dog listed in this form?

    PLEASE INCLUDE TWO UPDATED DIGITAL PICTURES OF THE DOG.
    Ensure the entire dog can be seen including body, legs and face.
    We use these pictures to send out to the potential adopters.

    Whole body picture (2mb max file size)

    2nd Picture upload (Optional) (2mb max file size)

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