Tender Loving Crested Rescue - Reference Questionnaire

Reference Questionnaire

Reference to adopt or volunteer

Thank you for taking the time to answer some questions for your friend or family member. Your responses help us get to know the applicant. Please answer the following to the best of your ability.

Applicant's Name *

Your Name *

Your Email Address *

Your Address

Address Line 1

Address Line 2

City

State

Zip Code

How long have you known the applicant(s)?

How do you know the applicant(s)?

Please explain in detail some interaction you have seen between your friend(s) and their dog(s) or other dogs.

Do you regularly visit the applicant's home? How often?

What dog(s) does the applicant have now? Please list name, breed, sex and age if known.

What dogs have they had in the past? Please give us breed, age, etc., to the best of your knowledge. What happened to them?

Have they ever had any pets hit by a car or with a serious disease or injury? What were the circumstances and how did they handle the veterinary care?

What type of people visit their home? Kids? Grandkids? Friends? How do these visitors interact with the pets?

If the applicant has children, how do they treat their current pets?

Would you leave your pets in their care?

Are there any other comments you would like to add?

Name