Do you often have other people visiting your home? Yes No
Grandchildren? YesNo
Other children? Yes No
Is everyone in the residence and family agreeable to adopting a dachshund? Yes No
Have your children (if applicable) been exposed to dachshunds? Yes No Not applicable
Are you willing to teach everyone in your home, and all visitors, the proper care and treatment of a dachshund? Yes No
Are you willing to teach young children the proper care and treatment of a dachshund? Yes No
Are you willing to always monitor young children with the dachshund? Yes No
Even a dachshund that has proven reliable with young children? Yes No
Are you willing to:
Read books about dachshunds, and discuss the dachshund breed with your veterinarian, animal behaviorists, and other professionals in order to better understand the dachshund breed and their special characteristics? Yes No
Take the dog to a veterinarian at least once a year for a physical exam, shots, and heartworm check? Yes No
Take the dog to a veterinarian when ill? Yes No
Welcome the dog into your family as a permanent member? Yes No
Return the dog ONLY to Coast to Coast Dachshund Rescue if you decide that he/she cannot be a member of you family? Yes No
Maintain heartworm preventative medications throughout the dog's life? Yes No
Do everything within your power, and with the help of your veterinarian, and/or other professionals to ensure that the dog has a long, healthy life? Yes No
Have you given careful consideration to all of the following:
Financial obligations of responsible pet ownership? Yes No
Special needs and time and patience involved with rescue dachshunds? Yes No
Who will care for the dog, and where will the dog be kept?
Have you ever owned a dog? Yes No
Have you ever owned a DACHSHUND? Yes No
Why do you want to adopt a rescued dachshund at this time?
Do you currently own any other pets? Yes No
If yes, then please provide name, species, breed and age of each:
If you have other dogs and cats, are they all spayed or neutered? Yes No
Coast to Coast Dachshund Rescue has a very strict spay/neuter policy requirement. This policy can be located at http://www.c2cdr.org/spay_neuter_policy.html
If you have an unaltered dog or cat, please explain in detail why the animal has not been altered.
If you have previously owned dogs, what happened to those no longer living with you?
What do you know about the characteristics of the dachshund breed?
Are you familiar with the unique personality of a dachshund? Yes No
Are you aware that purebred dachshunds can have a predisposition to back problems, weight gain, and house training problems? Yes No
Are you aware that purebred dachshunds are not the best choice for families with very young children? Yes No
Are you willing to adopt a dachshund that is:
Older? Yes No
If you checked yes above, what age are you willing to consider?:
Over 10 years 7 to 10 years 5 to 7 years
Abused? Yes No
Not reliable with children? Yes No
Physically handicapped? Yes No
Requires ongoing medication other than heartworm preventative? Yes No
Requires continued house training? Yes No
Would you consider adopting a pair of dachshunds in the case of dogs that should not be separated and need to be placed together? Yes No
Type of residence: House Condominium Apartment
Own or Rent? Own Rent
If renting, is landlord agreeable to you having a rescued dachshund? Yes No Not applicable
Do you have a yard? Yes No
Fenced? Yes No
If not fenced, do you have an exercise program for the dog? Yes No
**If you do not have a fenced yard, how would you exercise your dog? This is a required answer if you do not have a fenced yard.
Are there stairs in your residence? Yes No
Where will the dog be kept during the day?
How many hours a day will the dog be left at home alone?
Where will the dog sleep?
Who will take care of the dog while you work?
Would you be willing to take the dog for obedience training if needed? YesNo
Are you familiar with the necessary shots as well as heartworm testing and preventative? Yes No
Are you familiar with flea and tick treatment and prevention? Yes No
What do you intend to feed the dog?
If needed, how will you housebreak the dog?
Please list preferences:
Color:
Red
Black and Tan
Other
No Preference
Coat Type:
Smooth
Long
Wire
Size:
Standard (20 lbs and over at 12 months of age)
Miniature (11 lbs and under at 12 months of age)
"Tweenie" ("oversized" mini between 11 and 20 lbs)
Gender: Male Female No Preference
Preferred age range:
*Veterinarian: Veterinarian's name, Clinic Name, Address, Phone number and email address
*References:
*Reference 1