SYD Pre-Adoption Questionnaire Please complete this form if you are interested in adopting a dog from SYD Your Name Your Email address Your Address (including postcode) Your phone number Aged 18 or over? NoYes If you do not want SYD to use this information for mailing purposes, please tick this box Opt out Please answer the following questions as fully as possible If you are interested in a particular SYD dog, please state his/her name here How did you hear about SYD? Do you own other dogs? YesNo If yes then - Breed(s) - Age(s) - Gender(s) Do you own other pets? Cat(s)Bird(s)Rodent(s)Other (please specify) Type of home HouseFlatBungalowOther If 'Other' then please specify. Are you the owner of the property? (If ‘No’ we will require a letter of authority for you to keep pets from your Landlord.) YesNo Is your garden secure / enclosed? (A Hedge does not necessarily mean a garden is secure.) NoYesNo but can be made secureNo garden What is the minimum height of the fence? Less than 4ft4-5ft5-6ftOver 6ft How many adult men live in the home? How many adult women live in the home? How many children live in the home? Please state the ages of the children How often will the dog be left alone? NeverOnce a weekTwice a weekMonday to FridayEvery day What size of dog would you like? SmallMediumLargeAny What age of dog would you like? Puppy2-5yrs5-8yrs8+yrsAny Dog gender preference: EitherMaleFemale Have you owned a dog before? NeverAs a childAs an adult How much exercise would you be able to give your dog on weekdays? Please answer in hours. How much exercise would you be able to give your dog on weekend days? Please answer in hours. If you have any further comments please add them below.