Southwest Airedale Rescue Adoption Questionnaire Southwest Airedale Rescue is glad that you are interested in adopting an Airedale. To help us determine whether we might have the right Airedale for your family, please fill out the following questionnaire. Your detailed answers will help us make the best match. Be sure to save this document frequently so that if something happens to your computer, you won’t lose all your work. When you have completed the questionnaire, you can email it to us at the address at the bottom. You should first read our policies: http://www.airedaleterriers.org/swat/policies.shtml Have you read our policies? Your Name: Email address: How often do you check your email? Primary Residence where the Airedale will live: Street Address: City: State: Zip Code: Your Mailing Address (if different): Home Phone # (including area code): Best Time to Call you at home: Your Work Phone (if you can receive calls at work): Best Time to Call (if you can receive calls at work): Your Mobile Phone #: How did you find out about Southwest Airedale Rescue (i.e., Petfinder, 1-800-Save-A-Pet, Pets911, Petharbor, Search Engine, Word of Mouth, Other)? Do you have preferred gender of your new dog, or would you adopt either? If you prefer "male only" or "female only" explain why. Age of Dog you would adopt: Would you consider an Airedale mix? What is the main reason you are considering adding a dog to your family? Why are you interested in Airedales? Does everyone in your family want an Airedale? If not, explain: Have you owned an Airedale or Airedale mix before? If so, tell us about her/him/them and how long ago it was: If we have the right Airedale, are you ready for new dog now? If not, When will you be ready for new dog? What other breeds are you considering? Do you currently own pets? If so, please tell us about them and include the type (dog, cat, bird, horse, etc.), breed(s) if a dog, name, approximate age, approximate weight, sex, whether neutered/spayed or intact, and how long you have owned) If any of your dogs or cats are not spayed or neutered, explain why: If friends or family visit with animals the Airedale will need to get along with, please describe, including type (dog, cat, bird, horse, etc.), breed(s) if a dog, age, weight, sex, whether neutered/spayed or intact, Has your current dog (if any) lived with large dog: What kind of food do you / did you feed your dog(s)? If you have a cat, what is your cat's experience with dogs? Are you aware some Airedales will kill cats? If you have a cat, describe the arrangements you have made to keep the litterbox inaccessible to the dog and escape routes for the cat. Have you owned any pets in the past five years that no longer live with you? List any pets you have owned in the past five years, but do not own now, the breed (or best guess), size, whether acquired as a puppy or adult, how long you owned them and why they no longer live with you. Please provide any information or anecdotes about your current or previous dogs that may be relevant to adopting an Airedale Terrier. Please list all veterinarians seen in the last five years. Include name of vet or clinic, city and state, telephone number if you can find it and names of pets seen. If you did not provide a veterinary reference, explain why: Please list the name and age of every person who currently resides at your residence, including family, tenants and frequent overnight houseguests, starting with yourself. Who has (or will have) primary responsibility for feeding the dog? Who has (or will have) primary responsibility for exercising the dog? Does anyone in your household have any allergies to animals? If yes, please explain. If you don't have children living in your home, how often do children (age 7 years or younger) visit? If young children live in or regularly visit your home, describe their previous experience with dogs. What matches your family's usual schedule? Examples: We're home only in the evening, and even then we're in and out. We're busy, but spend a lot of time at home. We are almost always at home. How long will the dog be without humans on the typical day? Where will your dog be kept when no one is at home? What kind of exercise will your adopted Airedale get, where, how regularly (once a day, twice a day, every few days, etc.) and for how long (miles or minutes)? How frequently do you travel, either for business or for pleasure? Who will take care of your dog while you are away? Will your Airedale be professionally groomed? If not, who will groom the Airedale? If a non-professional is going to groom your Airedale, what experience does this person have in grooming Airedales? Think about what major changes might happen in your life in the next 15 years: marriage, divorce, new baby, children leaving for college, adult children returning home, with grandchildren, loss of job, change of career, job transfer, retirement, move to nursing home, death of spouse. These are all reasons that Airedales have lost their original home and ended up in rescue. Are you willing to continue spending the time, energy, and money to care for the Airedale as you deal with these life changes or new responsibilities? If you had to move, are you willing to take your Airedale with you, and restrict your choice of housing to places where pets are allowed? If you died, who would take over the care of your Airedale? Which of the following best describes your current residence (single family residence, condo, apartment, ranch or farm, mobile home)? If other, describe: Do you own or rent your home? How long have you lived at this address: Are you planning to move in next year? If so, where are you moving? If you rent, do you have your landlord's approval to add an Airedale to your family? Landlord name and phone: If you belong to a homeowner's association, are there any restrictions on the number, breed or size pets you can have? If so, what are the association pet restrictions? Does your town or city have any restrictions on the number or kind of dogs you can have? If so, what are the restrictions? If you have a fenced yard for the dog, describe the type of fencing. How tall is the fence around your yard? If you have a fence, is it secure and solid on all sides, without any gaps? Are you willing to make improvements to provide a secure yard? Does a door from the house open directly to the fenced area? Is there a dog door (large enough for an Airedale) to the fenced yard? In what room will the dog sleep at night? Do you (would you) allow your dog on the furniture? Do you have an area in your yard the dog can use as a "digging pit?" Do you have a swimming pool? Can the dog get into the pool from the dog yard? If your new dog liked to swim, would you allow it in the pool? Are you willing to attend a basic obedience course with your new dog? Have you ever attended obedience classes with a dog? How long ago was your last training session? Are you willing to work with a private trainer to resolve behavior problems? What experience, if any, have you had with "leash aggression?" What would you do if your new dog turned out to be a "counter-surfer" (i.e., steals food from the kitchen counter if allowed access)? What behavior problems have you previously solved through training? Are you familiar with crate training and its do's and don'ts? If you did not enter contact information for your current or past veterinarian(s), please list two references. References could include your groomer, dog trainer, a neighbor, your employer, a friend, or relative who owns an Airedale, another terrier, or another high maintenance breed (such as a Poodle or Afghan Hound). Reference 1 name: Reference 1 phone: Reference 1 relation: Reference 2 name: Reference 2 phone: Reference 2 relation: What is your estimate of yearly expense of owning an Airedale Terrier? What does that figure include? Are you able and willing to pay for the expenses necessary for pet ownership? Have you contacted a rescue volunteer in your area? Name of the regional rescue organization or individual rescue volunteer you contacted: Have you ever adopted a dog through Airedale Rescue before? Have you adopted companion animals from other shelters or rescue groups? Do you understand that rescues are spayed/neutered or have a spay/neuter contract? Are you aware that if Rescue places an Airedale with you, you will be asked to make a donation? Do you have any other information you would like to provide? Are we authorized to contact your references? By filling out this form and submitting it, it starts the process of approval for you to adopt an Airedale. If after reviewing all the information, we feel that an Airedale would flourish under your love and care, we will then start looking for the right match for your family. Part of this process includes a home visit. A volunteer will contact you to set up a convenient time for both your family and a volunteer to visit you in your home. The home visit is a mandatory step in the adoption process. Please understand that our mission is to find our rescued Airedales a new forever home. None of us are compensated for their time. We all have a passion for the breed and realize that an Airedale is not for everyone. We appreciate your understanding of our time commitments to our families and careers as well as the time it will take to find the right companion for your family. Completion of the questionnaire does not guarantee placement of an Airedale. Thank you very much for considering a rescued Airedale as your next companion. When you have completed the form, you can save and email it as an attachment, or copy and paste it into an email. Send it to swat.rescue@gmail.com with Airedale Adoption in the Subject Line.