Find My Fit Adoption Survey

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JotForm ID
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Full Name* This field is required.
First Name
Last Name
3
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
4
Phone Number* This field is required.
Please enter a valid phone number.
5
Email* This field is required.
example@example.com
6
Age* This field is required.
Under 21
21-25
26-35
36-54
55+
7
How many adults live in the household? (Please include their age and gender.)
8
Do any children under the age of 18 live in the household?* This field is required.
YESNO
9
How many children under the age of 18?* This field is required.
10
What are their ages?* This field is required.
11
Do children ever visit your household?* This field is required.
YESNO
12
What kind of experience do they have with dogs?* This field is required.
13
Have you adopted from RCHS before?* This field is required.
YESNO
14
Have you owned any pets in the last five years?* This field is required.
YESNO
15
What types of pets have you owned in the last five years? Please describe what kind of animals you have owned, (m/f, what age were they when you got them, describe their personalities and energy levels) and if they have had any special behavioral needs or training.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Do you currently own a pet?* This field is required.
YESNO
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How many pets do you have at home?* This field is required.
Number
Dogs
Row 0, Column 0
Cats
Row 1, Column 0
Rabbits
Row 2, Column 0
Other
Row 3, Column 0
Dogs
Cats
Rabbits
Other
Number
Row 0, Column 0
Number
Row 1, Column 0
Number
Row 2, Column 0
Number
Row 3, Column 0
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Please describe the kinds of animals you own, (m/f, what age were they when you got them, describe their personalities and energy levels) and if they have had any special behavioral needs or training.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
19
Choose your preferred training method
A: Positive Reinforcement - Reinforcing and managing behavior using rewards such as treats, praise and toys. Could also involve negative punishment (taking things away that a dog enjoys to decrease the frequency of behavior).
B: Positive Punishment - Adding something a dog dislikes to decrease frequency of behavior. Using tone, leash corrections, shock/prong collars.
C: A balanced combination of options A and B.
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Select the listed methods/items that you would consider in your dog training tool kit:
Treats
Praise
Physical correction
Verbal correction
Squirt bottle
Penny can
Dog whistle/ultrasonic device
Shock collar/E-collar
Vibration collar
Bark collar
Clicker/Verbal Marker
Crate
Choke chain
Prong Collar
Slip lead
Flat collar/ Martingale collar
Harness
Head halter/ Gentle Leader
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Type of Home* This field is required.
Apartment
Condo
Military Housing
House
Other
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Do you own or rent your home?* This field is required.
OWNRENT
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Is this animal for:* This field is required.
Yourself
Your children
Family Pet
Gift
Companion for pet at home
Protection/guard animal
Other
24
Who will be responsible for the feeding, socialization, and training of this dog?* This field is required.
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Under what circumstances would you not keep this dog?* This field is required.Note: RCHS will always take their animals back if needed, and place in a new home
Huge
Large
Normal
Small
Ok
Ok
26
Describe the personality of your ideal dog?* This field is required.
Active
Mellow
Cuddly
Independent
Couch Potato
Social Butterfly
Athletic
Protective
Other
27
On a scale of 1-5 rate your family's activity level:* This field is required.
1
2
3
4
5
Couch Potato
Super Sonic!
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Would you like information on any specific behavior or training issues?* This field is required.
YESNO
29
Please specify:* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Do any members of the family have allergies to specific animals?* This field is required.
YESNO
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Briefly explain what types of animals your family member is allergic to:* This field is required.
Huge
Large
Normal
Small
Ok
Ok
32
When outdoors how will the dog be confined?* This field is required.
Fence
Zip Line
Invisible Fence
Chained
Dog Kennel
Supervised & On-Leash
Other
33
How much time does your family typically spend away from home each day?* This field is required.
Mostly home all day
Part Time (4-6 hours)
Gone most of the day (8+ hours)
34
Briefly describe your daily schedule.* This field is required.
35
Do you have a yard?* This field is required.Note: this is NOT a requirement for adoption
YESNO
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Type of fence: * This field is required.
37
Height of fence:* This field is required.
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Where will your new dog be kept when you are not at home?* This field is required.
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Where will your new dog be kept when you are at home?* This field is required.
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Describe the level of house training (potty training, inappropriate chewing) you are willing to work on if any?* This field is required.
41
Describe any preferences you may have and specify any deal breakers (gender preference, age range, size, medical issues).* This field is required.
42
When do you anticipate the following changes to your household environment? * This field is required.
Answer
Moving
Row 0, Column 0
Having Children
Row 1, Column 0
Adopting other pets
Row 2, Column 0
Other
Row 3, Column 0
Moving
Having Children
Adopting other pets
Other
Answer
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Answer
Row 1, Column 0
Answer
Row 2, Column 0
Answer
Row 3, Column 0
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Are there any animals that are available for adoption that you might be interested in currently?
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Additional Notes or Comments:
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: