ADOPTION QUESTIONS

Today’s Date:______

Are you applying for a specific dog? :

Type of Fox Terrier (Smooth) or (Wire)?

What is the dog's name and location: Gender: Age:

First Name:
Last Name:
Address:
City:
State:
Zip code:
Daytime phone:
Evening Phone:
Email address:
Occupation:
Spouse's Name & Occupation:
Describe your activity level:
Marital Status:

Have you ever owned a Fox Terrier before?

Do you still have the dog or what happened to it?

Where or from whom did you get your Fox Terrier from?

Have you ever spent any time with one?

How did you learn about Fox Terriers and why did you decide on this breed?

Do you have any other pets or livestock?

Please supply name, breed, gender, age and neuter status of other pets:


What dogs have you owned previously and what happened to them?

Have you or any immediate family members ever surrendered a dog to a rescue
group, humane society or animal shelter?

Has your ownership of a dog ever caused you to be in a court situation?

Do you have any children living in the home or who are in the home on a regular basis?

What type of dwelling do you live in?

Do you own or rent?

Do you have a fenced in yard?

What type of fencing and how high?

Do you have a swimming pool?

How often and for how long is there regularly no one at home?

Where would the dog be during those hours?

Where will the dog stay at night?

Who will care for dog on a regular basis?

Please list other persons in household besides those listed in the first question who will have contact with dog?

Does this person approve of getting a dog?

On vacations, what would you do with the dog?


How will the dog get exercise?

Do you plan to do obedience training with the dog if he/she is not already trained?

How would you help your rescue Fox Terrier adapt to its new home and how would you introduce it to your rules and expectations, including where and when to go outside?


Some rescue dogs are untrained and not housebroken. Are you willing to take a dog like this?

Are you familiar with crate training?

Would you be willing to take a dog with minor health or behavioral conditions?

Separation Anxiety? Would this be a reason to turn down a Fox Terrier?
Housebreaking? Would this be a reason to turn down a Fox Terrier?

Minor aggression - growling? Would this be a reason to turn down a Fox Terrier?

How was this dealt with?

Moderate aggression - nipping? Would this be a reason to turn down a Fox Terrier?

How was this dealt with?

Major aggression - biting? Would this be a reason to turn down a Fox Terrier?

How was this dealt with?

Dog vs. dog aggression? Would this be a reason to turn down a Fox Terrier?

How was this dealt with?

Dog vs. cat aggression? Would this be a reason to turn down a Fox Terrier?

How was this dealt with?

Dogs that pull hard on leads? Would this be a reason to turn down a Fox Terrier?


Digging? Would this be a reason to turn down a Fox Terrier?

How was this dealt with?

Running away? Would this be a reason to turn down a Fox Terrier?

How was this dealt with?

Chasing other animals? Would this be a reason to turn down a Fox Terrier?

How was this dealt with?

All dogs must be spayed or neutered as part of the adoption process. Are you willing
to do this if not already been done?

When will you be ready to take possession of the dog?

If there are no dogs available in your area, are you willing to have a dog transported from another area?

What is your closest major airport?

Would it be o.k. with you to have a member of American Fox Terrier Rescue visit your home?

Please tell us a little about yourself and your lifestyle so that we can match the right Fox Terrier to your home.


Veterinary reference (name and phone number)

Please email this completed form to:

We will contact you promptly. Thank you.

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