Adoption Follow-Up Questionnaire If you are human, leave this field blank. Dog/Cat * Dog Cat Pet's Name * Pet's New Name * Adopter's First Name * Adopter's Last Name * Adopter's Address * Adopter's Address Adopter's Address Adopter's Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Home Phone * Did you receive and/or verify the confirmation email for your 30-day ShelterCare Gift Policy following your adoption? (ONLY FOR CUSTOMERS WHO PROVIDED AN EMAIL ADDRESS AT TIME OF ADOPTION) Yes No Your feedback is essential. Please take a moment to answer the following questions concerning your recent adoption: How is your new pet adjusting to your home? * Have you taken your pet to your veterinarian for a follow-up visit? * Yes No What was the outcome? Have you had any specific concerns about your pet? * If you have other pets, how have they adjusted to your new pet? * If you have children, how is your new pet getting along with them? * Are you having any housetraining or behavioral problems; and if so, can we provide you with any assistance? * Yes No How can we help with your housetraining or behavioral problems? If your new pet is a dog, how and when does he or she get exercise? * Does your pet wear its rabies’ tag or some other form of identification? * Yes No Please rate your overall experience with our staff: * Poor Good Excellent How could we improve to make the experience better? * What did we do well? * If your family wanted another pet, would you adopt again from our animal shelter? Why? * What other assistance can we provide you and your new pet? * Please attach a pet photo if you have one. Uploading Files. Please Wait. Drop a file here or click to upload Choose File Maximum upload size: 516MB Submit
