Chicago Pet Rescue - Post-Adoption Questionnaire

Chicago Pet Rescue

Home
- Contact Us
Adoption Info
Available Animals
- Birds
- Cats
- Dogs
- Other Pets
- Courtesy Listings
How You Can Help
News & Events
- Event Photos
- Happy Tails >
  - Alumni Pictures and Stories
Resources
Happy Tails

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