Jersey Shore Animal Center
185 Brick Boulevard
Brick, NJ 08723
Phone (732) 920-1600
Fax (732) 920-3706
www.jerseyshoreanimalcenter.org
This questionnaire has been developed to assist our staff with the adoption process. We ask that you answer all of the questions to the best of your ability.*
Why have you not owned a pet in the last 5 years?
_________________________________________________________________________________________________________
Why do you want to adopt an animal now?
_________________________________________________________________________________________________________
Have you ever owned a pet? Y___ N___ How long ago?____________
If yes, what kind of pet(s) and breed.
___________________________________________________________
How much do you anticipate spending annually on:
Veterinary care $_______________
Food $_______________
Toys and accessories $_______________
Grooming $_______________
Boarding or pet sitting $_______________
(Please do not put down “What ever it takes.” We are looking for a realistic dollar amount you feel you will spend on your potential new pet)
What is the name of the veterinarian you will be using:
__________________________________________
Your lifestyle: Very active___Moderatley active___ Not very active___
If you become unable to care for your pet what provisions will you make for him/her.
_______________________________________________________________________________________________________
Describe what being a responsible pet owner means to you:
_______________________________________________________________________________________________________
* Note – a pre-set vet appointment will be required prior to adoption if approved.