The Scottish Cavalier King Charles Spaniel Club.

Subtitle


RESCUE QUESTIONNAIRE


SCOTTISH CAVALIER KING CHARLES SPANIEL CLUB

RESCUE AND WELFARE


Co-ordinator: David Smith, 9 Elm Grove, Larbert, Stirlingshire, FK5 3LP

Tel: 01324 553331


Thank you for your enquiry re offering a home to a Cavalier King Charles Spaniel through our Rescue & Welfare Service.

This form is designed to find out about you and your circumstances so that we can match dogs with the most appropriate home. Our first priority is the dog, and we have to be sure that having already been moved from one home the dog will have the best chance possible of settling permanently in his/her new home.

You will be expected to pay a fee once a suitable dog is found for you. This is to help with the veterinary, transport & administration costs of the Service

.

PLEASE COMPLETE THE FOLLOWING IN BLOCK CAPITALS


Name: …………………………………………………….............. Date: ………………………….........

Address: ……………………………………………

…………………………………………………… Tel (inc. STD): ……………………………….

…………………………………………………… Mobile / Alt Tel: ……………………………….

Post Code: ……………………………………… Email: …………………………………………..


Marital Status: Single / Married / Other


Total no. of people in household:


Age group: 20’s 30’s 40’s 50’s 60’s 70’s 80’s


Do you have children or children that visit regularly? Yes /No

No. of Children: ..............................

Ages of Children.............................


Do you work fulltime / part-time (hrs) ……………/ work from home (hrs)? ……………/ No


Have you owned dogs before? Yes / No Breed other than Cavaliers………………

Have you owned Cavalier King Charles Spaniels before? Yes / No

If Yes, for how long? ..............................

If Yes, how many? ............................

Would you consider only a dog? Yes / No

Would you consider only a bitch? Yes / No

Would you consider either? Yes / No


Approx Age? ……………(Please note approx age of rescue cavaliers is around 6+ years)


Would you consider taking on a pair? Yes / No / Maybe

Older dogs with health problems need special homes. Could you offer a home to one of these dogs? Yes / No

Are any of your household allergic to dogs? Yes / No

Do you own any other animals? (species / breed, age & sex):…………………………………………

(Please include any existing Cavalier(s))

Are they neutered? Yes / No Additional info ………………………………..


Do you live in a house / flat / bungalow / other

Is your property owner occupied / privately rented / council rented?

(If your home is rented you may require permission from the owner)

Do you have a garden? Yes /No

If Yes, is it fully secure / half fenced / unfenced?

Is your house situated on a main road / a minor road / other

Are you likely to be moving in the foreseeable future? Yes / No

What local facilities are there for exercising a dog in your area? .........................................................

On an average day, how long would your dog be left on its own?......................................................

Where will your new dog sleep? ....................................................................

What holiday arrangements would you make for your new dog?...................................................


Have you approached any other rescue organisations to obtain a dog? Yes / No

If Yes, which ones? ...................................................


Have you ever been refused a dog by any rescue organisation? Yes / No

Have you ever been refused a dog by any rescue organisation? Yes / No

If Yes, please state reason:

...................................................................................................................


Would you be prepared to Short Term Foster Yes / No

Have you any other information which might be relevant?

Why do you want a Rescue dog?


How long are you prepared to wait for a Rescue dog?


How did you hear about our rescue Service?


To the best of my knowledge, I have answered all the above questions truthfully.


Your details are only kept so we can contact you in the event of a dog being available and details will be disposed of if you change your mind or acquire a dog from another source


Signed: …………………………………… Date…………………………………


Thank you for your enquiry and may we inform you that whilst every effort will be made to give you full detailed information regarding the Cavalier King Charles Spaniel you are offered, it must be appreciated that we cannot guarantee its absolute accuracy as it is mainly based on information provided by the previous owner as well as our own observations and any veterinary surgeon’s report. Dogs or bitches re-homed through the Scottish CKCS Welfare and Rescue must not be used for breeding or at stud. All dogs registration papers and documents remain the property of the Scottish CKCS Welfare and Rescue.


If you find a dog in the meantime, please let us know so that we can update our records.