Foster Questionnaire – Victoria Pet Adoption Society

You can download the questionnaire or complete it online.

Download Questionnaire

Once the questionnaire is completed, email it to victoriapets@gmail.com.

Complete Questionnaire

Name: *

Phone: *

Address: *

Email: *

How did you hear about the Victoria Pet Adoption Society? *

Are you 19 years of age or older? *

YesNo

How many people are living in your household? *

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Please list each person living in your household:

Person #1:

Name: *

Gender: *

Age: *

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Person #2:

Name: *

Gender: *

Age: *

[/group] [group threePeopleSelected clear_on_hide]

Person #3:

Name: *

Gender: *

Age: *

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Person #4:

Name: *

Gender: *

Age: *

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Person #5:

Name: *

Gender: *

Age: *

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Person #6:

Name: *

Gender: *

Age: *

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Person #7:

Name: *

Gender: *

Age: *

[/group]

Who will be the primary caregiver of the pet(s)? *

Why do you want to be a foster parent? *

Have you ever fostered a pet for another organization? *

YesNo

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What organization did you foster for? *

What type of animals did you foster? *

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What types of animals are you interested in fostering (please check all that apply)? *

Are you comfortable with (please check all that apply): *

What type of time commitment are you prepared to devote to fostering a pet? *

Please explain the area where your foster pet(s) will live? *

How many hours each day will you have to spend with your foster pet(s)? *

How many hours each day will your foster pet(s) be left alone? *

What will you do with your foster pet(s) during the time that you are not at home? *

Do you currently have any pets? *

YesNo

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How many pets do you have? *

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Please supply the following information for each pet currently living in your household:

Pet #1:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

[/group] [group twoPetsSelected clear_on_hide]

Pet #2:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

[/group] [group threePetsSelected clear_on_hide]

Pet #3:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

[/group] [group fourPetsSelected clear_on_hide]

Pet #4:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

[/group] [group fivePetsSelected clear_on_hide]

Pet #5:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

[/group] [group sixPetsSelected clear_on_hide]

Pet #6:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

[/group] [group sevenPetsSelected clear_on_hide]

Pet #7:

Pet Name: *

Pet Type: *

Pet Age: *

Is he/she neutered/spayed? *

YesNo

Are Vaccines Up To Date? *

YesNo

[/group] [/group]

Which veterinary office do you currently use? (This will be used for a reference check)

Clinic Name: *

Clinic Phone: *

Do you own a vehicle? *

YesNo

Can you bring the foster pet to the veterinarian for scheduled appointments or in the case of an emergency? *

YesNo

Does anyone in your household have pet-related allergies? *

YesNo

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What type of allergy is it? *

[/group]

Do you: *

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If you rent, please list a contact name and number for your landlord. This will be used for a reference check.

Landlord’s name: *

Landlord’s phone: *

[/group]

Are you comfortable allowing potential adopters into your home to meet the pet? *

YesNo

Have you ever surrendered a pet to a rescue organization, humane society, or animal shelter? *

YesNo

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Explain the circumstances: *

[/group]

Please feel free to make any additional comments:

Please give the name and phone number of at least 2 people (not family members) that can serve as a character reference for you:

Reference #1: *

Name: *

Phone: *

Personal Association: *

Reference #2: *

Name: *

Phone: *

Personal Association: *

Reference #3:

Name:

Phone:

Personal Association: