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____
Are you willing to adopt a dachshund that is:
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 ____
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?
Yes___No___
Are you familiar with the necessary shots (annual) as well as heartworm testing and preventative?
Yes ___No___
Are you familiar with flea/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
___No Preference
