Chicago Pet Rescue - Post-Adoption Questionnaire

Chicago Pet Rescue

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Have you recently adopted an animal from Chicago Pet Rescue? We would love to hear from you!

Please fill in the form below and click "submit."

About Your Pet:

* Indicates required field

Pet's Original Name: *

Pet's New Name: *

Type of Animal: *

Adopter's Name: *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

How is your new pet adjusting to your home? *

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? *

What are you feeding your pet? *

Where is your new pet sleeping? *

If your new pet is a dog, how and when does he
or she get exercise? *

Does your pet wear a license or some other form of identification? If so, what? *

Your Pet's Health & Behavior:

Are you having any housetraining problems and if so, can we provide you with any assistance? *

Have you had any other behavioral problems with your pet, such as cats spraying or clawing; dogs barking or chewing? Please specify: *

Have you taken your pet to your veterinarian for a follow-up visit? *

Yes No

If yes, what was the outcome? *

Has your pet been spayed or neutered? *

Yes No

If not, will your pet be spayed or neutered on or before the due date? *

Yes No

Who is your veterinarian? *

Veterinarian's Phone: *

Are you happy with the service that your veterinarian provides? *

Yes No

Are your pet's rabies and distemper shots up to date? *

Is your pet having any difficulty with fleas, mange or other skin problems? Please specify: *

Have you had any other problems with your pet?
Please specify: *

Adopting from Chicago Pet Rescue:

If you wanted another pet, would you adopt again from Chicago Pet Rescue or an animal shelter? If so, why? *

If you have only one pet, would you consider adopting another to keep the first company? *

Yes No

Would you be interested in giving back to
Chicago Pet Rescue? *

Volunteering Fostering Donating materials or money

Is there any further assistance we can provide? *

What suggestions could you offer to help us increase our adoption rate and maintain quality placements? *

Please send us photos of your new pet!

We love seeing our rescued animals in their happy, forever homes. You can email your photos to followup@chicagopetrescue.org and we'll post them in our "Happy Tails" Alumni Picture gallery!

Submit Your Post-Adoption Questionnaire