Survey - Foster Dog Adoption Survey - Humane Society Silicon Valley

Thank you for your interest in adopting!

Please provide the following information so we can best match you with one of our foster dogs.

If you have any questions, you can contact a Foster Dog Coordinator at 408-262-2133 x 183 for Casaundra, x 184 for Patricia, or x 185 for Jeri. Due to the high volume of surveys we receive, please give us some time to reply to you.

Question - Not Required - Which of our dogs are you interested in adopting?

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Question - Required - Describe what type of dog will best fit your family:

(Maximum response 255 chars, approx. 5 rows of text)

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Question - Required - Is it important to you that your dog be able to get along with children?

(Maximum response 255 chars, approx. 5 rows of text)

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Question - Required - Tell us about your experience with dogs:

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Question - Required - What type of energy level are you looking for?

(Maximum response 255 chars, approx. 5 rows of text)

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Question - Required - What will a typical day be like for your adopted dog?

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Question - Required - How many hours a day will your dog be without human companionship?

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Question - Required - Where will your adopted dog sleep at night?

(Maximum response 255 chars, approx. 5 rows of text)

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Question - Required - Will your dog be allowed inside the house?

Question - Not Required - If no, why not?

(Maximum response 255 chars, approx. 5 rows of text)

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Question - Required - Is it important to you that your dog be able to get along with other animals?

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - Please tell us about the other animals that you have at home: (Include Name, Type, Spayed/Neutered, Age)

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Question - Required - Are there any behaviors that you feel will not fit your lifestyle or family?

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - Is there anything else you would like to tell us to help find your new dog?

(Maximum response 255 chars, approx. 5 rows of text)

Please provide the following information:

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Name:

Title	First Required	Last Required

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Email: Required

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Street 1: Required

Street 2:

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City/State/ZIP:

City Required	State Required	ZIP Required

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Phone Number: Required

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HSSV offers special adoption pricing for Veterans and when Senior citizens adopt senior pets.

Question - Not Required - Check any boxes that qualify

	I have a Military ID
	I am a Senior adopting a dog 6 years or older.