When do you want to adopt? Now Within a month Within 3 months This year

About Your Home:

1. How many adults are in the household? Please select 1 2 3 4 or more         2. How many children? Please select None 1 2 3 4 or more

3. What are the occupations of the adults in the household?

4. What are the ages and sex of your children?

5. Is anyone home during the day? Yes  No      6. At Night?  Yes  No

7. How many hours per day will the dog be left alone? Please select None 1 2 3 4 5 6 7 8 9 10 or more

8. Is anyone at the home allergic to dogs? Yes  No

10. Do you own or rent your home? Own   Rent       11. What type of dwelling? Please select Single Family Home Duplex TownHome Condo Apartment Other

14. If you rent, are pets allowed? Yes  No N/A    13. List the size limit (if any) 

15. If you rent, name and phone number of your Landlord:

16. Do you have a fenced area/yard for the dog? Yes  No   17. How big (Width, Length, Height)

18. If not, what arrangements will you have for the dog's exercise and toilet duties?
 

19. Do you have a pool? Yes  No   20. Is it Fenced? Yes  No

Please note that homes with an unfenced swimming pool must NOT allow free access (have a doggie door) to the yard where the pool is located. AZBHR will NOT place a dog in your home unless provisions are made that the access to outside through the doggie door is fenced so there is no access to the pool.

22. What pets have you previously owned?
 

23. Have you ever owned a rescue dog before?  Y N

24. Have you ever had to give up a dog before?  Y N    If so, why?
 

25. Have you ever had to euthanize (put to sleep) a dog before?  Y N    If so, why?
 

26. Your Veterinarian:  City/State: Phone:
Please notify your veterinarian that Arizona Basset Hound Rescue will be contacting them and give permission for them to verify any of your current pets' medical records.

About Your New Basset Hound:

27. If you do not have a vet, how do you plan to provide for your Basset's health care?

28. How do your other family members feel about getting a Basset Hound?
 

29. Why do you want to own a Basset Hound?

30. What, if any, books have you read about dogs and/or Basset Hounds?

32. What traits/behaviors would you have a hard time dealing with in your Basset? (Check all that apply):
Dominance	Stubborn	Quietness	Destructive chewing
Escaping	Jumping on people	Digging	Plays too rough with children
Aggression	Nervous or Shy	Aloof	Too energetic
Biting/Nipping	Submissive	Noisy	Not good with other pets
Overly protective	Shedding	Drooling

33. What is your preference for sex of the dog?  No Preference Male Female

34. What is your preference for age of the dog?  Older (7 years +) 2-6 years Under 2 years Puppy
Please note that it is rare that Basset puppies are available for adoption

35. Would you be interested in:  Basset Mix   Dog with Special Medical Needs    Senior Dog   Bonded Pair

36. If you are interested in any of the dogs currently available please specify their names.

Adopting a Basset is a great responsibility. You will be sharing your life with a Basset for up to 10 or so years, who is totally dependent upon you for food, shelter, clean up, and veterinary care. This involves a financial commitment.

37. Are you willing to make this life-long commitment to a Basset?  Yes   No

38. How would you classify your home?  Calm, Quite Moderately Active Very Active

39. Would your Basset be living with or have any of these neighbors or regular visitors? (Check all that apply):
   Children Under 10   Other Male Dogs   Other Female Dogs   Teenagers   Cats

40. Do all members of your household understand that it takes time for a dog to adjust to a new environment?   Yes   No

41. Would you be able to tolerate a few accidents in the house while your Basset adjusts to your home?   Yes   No

42. What would you be willing to try if housebreaking accidents continue after the first week? (Check all that apply):
   Paper Training   Crate Training   Doggie Door    Other: 

43. If your new Basset Hound needs to learn the basics, how would you go about the training? (Check all that apply):
   Obedience Class   Use a Book   Personal Knowledge    Other: 

44. Have you ever taken a dog to a basic obedience course?   Yes   No   Do you Pass?    Yes   No
If not, what happened?

45. Have you every used an electronic training collar or electric fence?   Yes   No

How did you hear about AZBHR?

If you reside outside of Arizona, have you contacted your local rescue? Yes  No

If you reside outside of Arizona and are approved for adoption, are you willing to provide transportation?  Yes  No