SouthWest Airedale Terrier Rescue Online Pre-Adoption Questionnaire


Do you have a strong sense of humor?
Yes No
Are you a patient person?
Yes No
How about your husband / wife / spouse / significant other (if you have one)?
Yes No
There's only me

If you answered “yes” to all of the above questions, please continue. If not, you can save yourself a lot of time and aggravation by looking elsewhere for a new companion.

Do you or your husband / wife / spouse / significant other get upset if a person / child / dog fails to respond instantly to orders / commands / suggestions / requests?
Yes No

If you answered “yes” to this question, a rescued Airedale is probably not the best companion for you.

Happy owners of rescued Airedales are a diverse group, but what most have in common is a sense of humor, lots of patience and flexibility. They are firm, but loving, and have a relaxed and casual attitude towards people and animals. If that describes you and the others in your household, we may have the perfect companion for you and invite you to complete our questionnaire to see if we can make a match.

If, on the other hand, someone in your household insists that things be done NOW, gets upset if they don't have a perfectly arranged house and manicured yard, or have a very strong image of exactly how your new companion must act, we urge you to look elsewhere for a four-footed companion.

The questions below are meant to help us match the right Airedale Terrier to your particular lifestyle - there are no "right" or "wrong" answers. Some Airedales we rescue are great with kids, some better with just adults; some do well with other animals, some need to be only dogs. Your answers will help us find an Airedale that fits your circumstances. Please be as specific as possible and answer all questions as completely and truthfully as you can. It helps us to help you!

Please use the following drop down list to click and highlight your area - then proceed with the questionnaire.  The Coordinators in your area will be the recipients of your completed questionnaire and will share it with the other SWAT coordinators.


STOP:   Please don't proceed without clicking on the menu shown above to highlight your area. 

To Continue:

Please enter your information in the data fields below. Use the Tab key (or point and click) to move from field to field. DO NOT USE THE ENTER KEY OR THE FORM WILL BE SENT PREMATURELY

Note: No text is saved until you click on the Submit button.

Before submitting, please be sure you have completed any field marked as required ( * )

We sincerely appreciate your time and your interest in our breed!

Have you read the article, Are You Ready for a Dog?
Yes No
Have you read our policies section?
Yes No

Your Contact Information

Your Name   ( required )
* Your E-Mail Address   (required)
Your Occupation (current or former)  
Retired?  
Yes No
Home Street Address   ( * a physical address is required)
Mailing Address (if different)   
* City   ( required )
State  
Zip Code  
Home Phone # (including area code)  
Best Time to Call   
Your Work Phone #  (if you can receive calls at work)
Best Time to Call (if you can receive calls at work)   
Your Mobile Phone #  
Spouse/Partner Name
Spouse/Partner Occupation (current or former)  
Retired?  
Yes No No Spouse/Partner
Spouse/Partner E-Mail  (if he/she would like to be copied with communications)

Why An Airedale?

Why do you think an Airedale Terrier would be the right breed for you?
Does anyone in the familly have any concerns about adopting an Airedale?
What other breeds are you considering?
Have you previously owned an Airedale Terrier?
Yes No
If yes, what year did you acquire it? (If you've owned more than one Airedale, provide information on the last Airedale owned.)
Age of Airedale when you acquired it.
How long did you own the Airedale
(if you still have your Airedale, how long have you owned it)?
If you have not owned an Airedale, have you personally met an Airedale Terrier?
Yes No
If yes, please describe.
If you haven't owned an Airedale, have you ever owned a large dog (over 50 lbs.)?
Yes No
How long ago?
years ago
What breed(s) was your large dog?

Lifestyle

What changes do you expect in your lifestyle and daily routine when you adopt an Airedale?
Do you travel frequently, either for business or for pleasure?
Yes No
Who will take care of your dog while you are away?
Is there a possibility that your current lifestyle is so busy you might not have the time or energy to properly care for a dog?
Yes No
Please explain.
Is someone normally at home most of the day?
Yes No
If yes, who is home during the day?
How much time will you have to spend with your dog on a normal workday?
How much time will you spend with your dog on a normal free day?
What kind of exercise will you give the dog, how regularly (daily, weekly, or monthly) and for how long (miles or minutes)?
Will your Airedale be professionally groomed?   
Yes No
If not, who will groom the Airedale?
Do you have the time, and are you physically able, financially prepared, and willing to:
--Pay someone up to $65 or more to groom your Airedale every 4-6 weeks?
Yes No
--Purchase a grooming table, clippers, scissors, and other accessories ($250-$300 investment) and devote the time to learn to groom your Airedale yourself?
Yes No
--Spend approximately one hour each week brushing and combing out your Airedale, or more if it gets into foxtails, burrs, or gets wet?
Yes No
Think about what major changes might happen in your life in the next 15 years: marriage, divorce, new baby, children leaving for college, adult children returning home with grandchildren, loss of job, change of career, job transfer, retirement, move to nursing home, death of spouse.
These are all reasons that Airedales have lost their original home and ended up in rescue. Are you willing to continue spending the time, energy, and money to care for the Airedale as you deal with these life changes or new responsibilities?
Yes No
If you had to move, are you willing to take your Airedale with you, and restrict your choice of housing to places where pets are allowed?
Yes No
If you died, who would take over the care of your Airedale?

Adoption Preferences

Please check any preferences.
Male Female
Either Male or Female
Would you consider the opposite sex if one is more readily available?
Yes No
Preferred Age
Would you consider a younger or older dog, if one were available and otherwise suitable?
Would consider a younger dog   
Would consider an older dog    

Comments:
Would you consider an Airedale in need of ongoing minor medical attention?
Yes No
Maybe. I would need more information before deciding.
Would you consider an Airedale mix? We do not rescue mixed-breed dogs, but we are frequently contacted about mixed Airedales that need new homes. If there are no suitable purebred Airedales available in the area, as a courtesy we will forward information about mixed Airedales to those who might be interested.
Yes No
Any other preferences?

Current Pets

List all animals currently in your household. Please include the type (dog, cat, bird, etc.), breed(s) if a dog, name, age, size, sex, whether neutered/spayed or intact, and how long you have owned)
If friends or family visit with animals the Airedale will need to get along with, please describe.
Please provide any information or anecdotes about your current or previous dogs that may be relevant to adopting an Airedale Terrier.
If you currently have a dog, describe your dog's experience with other dogs. For instance, how does your dog react to other dogs staying in your home? Does your dog enjoy playing with other dogs at the off-leash dog park? Does your dog get along with dogs of the same sex? Does your dog get along with dogs that are larger or smaller? Anything that you can share with us about how your dog interacts with other dogs will help us make the right match.
If you have a cat, what is your cat's experience with dogs? How would you describe your cat's attitude towards dogs?
Are you aware that some Airedales will kill cats and will never be able to live with a cat?
Yes No
If you have a cat, describe how you would go about introducing the cat and your new dog.
If you have a cat, describe the arrangements you have made to keep the litterbox inaccessible to the dog and escape routes for the cat.
Have you previously lost a dog for a reason other than old age, or had to give a dog up?
Yes No
If yes, what happened to it?
Is there anything you will do differently with this dog?

You and Your Family

Please list every person who currently resides at your residence, including family, tenants and frequent overnight houseguests, starting with yourself.
First Name
Last Name
Relation to You
* Age
(required)
Additional members of household:
Does anyone in your household have any known allergies to animals?
Yes No
If yes, please explain.
How often do children (age 7 years or younger) visit?
If young children live or regularly visit your home, describe their previous experience with dogs.
Are you planning to have children in the next five years?
Yes No
Are you willing to teach young or inexperienced children how to respect and properly handle a live animal?
Yes No
Are you willing to supervise your Airedale at all times when there are young children (under age 7) present?
Yes No
If your Airedale did not like children, could you make accommodations to keep it separated when children were visiting?
Yes No

Your House and Yard

Which of the following best describes your current residence?
House Condo Apartment
Ranch or Farm Mobile Home
Other
If Other, please describe.
Do you own or rent?
Own Rent
How long have you lived at this address?
If you rent/lease, is your landlord agreeable to your owning a dog?
Yes No
Does your lease have any restrictions on pet ownership?
Yes No
If so, what are the pet restrictions?
Please provide the name and number of your landlord (if you rent your home)
Name Phone
If you belong to a homeowner's association, are there any restrictions on the number, breed or size pets you can have?
Yes No
If so, what are the association pet restrictions?
Does your town or city have any restrictions on the number of dogs you can have?
Yes No
If so, what is the maximum number of dogs?
If your yard is fenced, describe the type of fencing.
Height of the fence at the lowest point accessible to the dog:
4-1/2 feet or less
5 feet
5-1/2 feet
6 feet or higher
No Fenced Yard
Is the fence secure and solid on all sides, without any gaps?
Yes No
Are there gates in the dog's yard?
Yes No
How high are the gates?
Is there any type of lock on the gate(s)?
Yes No
Type of lock (padlock, key, latch, etc.):
Other than the family, who has access to the dog's yard (gardner, pool maintenance, meter readers, neighbors, etc.)?

Are you willing to make improvements to provide a secure yard?
Yes No
Does a door from the house open directly to the fenced area?
Yes No
Is there a dog door (large enough for an Airedale) to the fenced yard?
Yes No Willing to Install
How much time will your dog spend without human companionship on a typical day?
Where will your dog spend the day when no one is at home?
Loose indoors with access to most of the house
Yes No
Confined to Garage
Yes No
Confined to one room in the house
Yes No
Crated
Yes No
Confined to outdoor kennel run
Yes No
Loose outdoors in fenced yard
Yes No
Access to house through dog door
Yes No
Tied up outside 
Yes No
If Other, please explain.
Where will the dog spend the night? (Please be specific.)
Do you (would you) allow your dog on the furniture?
Do you have an area in your yard the dog can use as a "digging pit?"
Yes No
Do you have a swimming pool?
Yes No
Can the dog get into the pool from the dog yard?
Yes No
If your new dog liked to swim, would you allow it in the pool?
Yes No

Behavior & Training

Have you ever formally trained a dog?
Yes No
If so, type of training
How long ago?
Name of trainer.
Are you willing to attend a basic obedience course with your new dog?
Yes No
Have you ever owned a "problem" dog?
Yes No
If yes, please describe.
What experience, if any, have you had with dog-dog aggression?
Are you familiar with crate training and its dos and don'ts?
Yes No
Are you willing to provide training to resolve behavior problems?
Yes No
What behavior problems have you previously solved through training?
What would you do if your new dog turned out to be a "counter-surfer" (i.e., will steal food from the kitchen counter if allowed access)?

VETERINARY REFERENCES

List name, location, telephone of your current veterinarians or, if you don't currently have any pets, the veterinarian you most recently used.
Name, City and State, Telephone, Name account will be under, Name of Pet(s) Seen, Reasons Seen
If you did not fill in a veterinarian reference, state the reason why:
Are you able and willing to pay for the cost of both annual veterinary care (not a "shot clinic" but a veterinarian who will give the dog a thorough annual exam) and nonroutine/emergency veterinary care, especially as the dog gets older?
Yes No

Other References

Other references could include your groomer, dog trainer, a neighbor, your employer, a friend, or relative who owns an Airedale, another terrier, or another high maintenance breed (such as a Poodle or Afghan Hound).
Name Phone Relationship to applicant

Other Information

Do you have any other information you would like to provide? Was a question above unclear? Do you want to tell us what you think of us for making you answer all of those questions? Here's your chance to comment.

Certification

 I certify that I have completed this questionnaire truthfully and accurately, to the best of my abilities and that I am the individual named at the top of this form. ( required )
Yes No
TODAY'S DATE:  
Before submitting, please be sure you have completed any field marked as required.


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