Giving up your dog for adoption – The Stafford Trust

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Giving up your dog for adoption Questionnaire

If you are needing to give your dog up for adoption we ask that you please fill in the below questionnaire.

We know that life doesn’t always go to plan and sometimes being a loving pet owner means making tough decisions, and deciding to rehome your dog can be one of the toughest decisions ever.

No matter your circumstances, we will listen without judgement, and do what we can to make things as simple as possible. We’ve been finding loving new homes for beloved pets for over 30 years and we are dedicated to caring for every Stafford. We will help them to settle in, get to know their individual quirks, and do everything we can to find the best possible home for them.

If you can please complete this questionnaire for us and one of us will be in touch.

Dogs name

Owners name

Address

Landline

Mobile

Where did you hear about us?

DOG INFORMATION | BREED - Full Staffordshire Bull Terrier or a Staffordshire Bull Terrier Cross/Mix Breed

Sex

Male
Female

D.O.B / Age

Is the dog:

Spayed
Neutered
Entire

If entire Bitch please provide date of last season

If entire Male has he even been put to stud

Coat Colour

Type of Coat

Short
Semi
Long Haired

Vaccinated

Are there any vaccination certificates

Date booster due

Date of last received worm/flea treatment

HISTORY OF DOG | Where did you get the dog

How old as he/she when you got him/her

Is he/she good with children

If yes, please provide age range

Has he/she ever lived with another dog

If yes, please provide details (i.e breed/age)

Has he/she ever lived with cats?

Has he/she ever chased livestock?

Is he/she good with other dogs?

Has he/she ever shown aggression?

Has he/she ever bitten anyone?

If yes, please give details of event and outcome?

ADDITIONAL INFORMATION | How does he/she react to strangers coming into the home

How long has he/she been used to being left?

Does the Dog chew when left alone in the home?

Is he/she used to travelling? (cars)

If yes, how does the dog travel?

Crate
Restrained
Harness

Does the dog bark excessively?

What is your dog’s feeding routine?

What is the dog fed?

Does the dog have any food allergies

If Yes, please provide details

Is the dog used to getting a bath?

Is the dog used to getting its teeth cleaned?

Is the dog used to being kept indoors?

Does the dog have a microchip/tattoo?

If yes, can you provide the documentation?

Is the dog house trained?

How does your dog let you know when they need to go out to the loo?

Has your dog been to training classes?

What commands do they respond to?

How is the dog on/off the lead?

Does your dog have any problems with food or possession aggression? When someone/another animal goes near their food or toys

If yes, can you provide details

How does he/she react to loud noises (ie fireworks/thunder)

MEDICAL | Has he/she has any medical problems in the past?

If yes, can you provide details

Does the dog have any medical problems at the present time? If yes, please provide details

How does the dog react to the vet?

May we contact the Vet

If yes, please provide contact details of your vet?

Is there a pedigree?

WHY? | Please give reason(s) as to why you have to re-home your dog:

Is there anything else that we should be made aware of about your dog before rehoming that could give cause for concern in his/her new home?

If you have your own transport would you be willing to do any travelling to help us out on the day we rehome your dog?

Is he/she registered with another rescue for re-homing?

We must be told the truth about your dog(s). If at a later date we find out that information was withheld which leads to a dog’s behaviour being totally unexpected in it’s new home e.g. aggression, savage attack, then we at The Stafford Trust will not be held accountable. If the new owners decide to prosecute then the information given on this form will be provided where necessary. If there is any more information concerning your dog that you feel we should be made aware of then please inform us at the time of filling in this form.

Bob Whittall – Rehoming – Trustee
Tel: 015395 30245 (10.00am and 7.00pm)
Email: bobsbtrescue@hotmail.com

Anna Murray – Rehoming – Trustee
Tel: 07747 831293
Email: annamurray.nsbtr@btinternet.com

John Dare – Breed Advisor – Trustee
Tel: 07592 355692

The Stafford Trust - Registered Charity No 1111698
& Northern Staffordshire Bull Terrier Rescue