Adoption Questionnaire (Old Website)

Please fill out our adoption questionnaire in order to help us to find the perfect dog for you.
An adoption donation of €150 is requested to help us meet our annual running costs.


PHONE NUMBER - Please enter carefully as we will be unable to contact you otherwise. *
FIRST NAME *
SURNAME *
EMAIL ADDRESS *
Please enter in which county you are in to help us to plan your home check. *
Street Address *
Name of town or village *
Any other directions you can give to help us plan your home check *
Are you interested in a specific dog or dogs? *
If yes, please enter the name of the dog you are interested in. *
Are you looking for a specific breed of dog?
If yes, please state your preferred breeds.
How many people live in your home? *
Will the dog be living with, or in contact with, children? *
If yes, what ages are they?
What kind of accommodation do you have? *	House Townhouse Apartment Other
Do you own your own home? *
Do you have a fenced yard, dog run or neither? Please describe your set up. *
How long have you been thinking about acquiring a dog? *
Is any one in your home allergic to animals? *
Has every one in the household discussed adopting a new pet? *
Will someone be home during the day? *
Why are you looking for a dog? (Security, companion, company for other pet, etc…) *
How long will the dog be left alone during the day? *
Where will the dog sleep? *
Where will the dog spend the days? *
When was the last time you had a dog?
If you had a dog before, what breed was s/he?
What happened to the dog?
Do you have a dog or dogs at the moment? *
If yes, please tell us their breed, sex and ages.
Was your previous dog / are your current dogs neutered?
Are there other pets in the house? *
If yes, please state what type.
This dog is desired for: *
Who will be ultimately responsible for the dog? *
How and how often, do you plan to exercise your dog? *
Do you plan to obedience train the dog, if so, how? *
Please describe what energy level of dog you are looking for: *
Expectations of behaviour? What would its personality be? *
What age of dog are you thinking of?
What size of dog are you thinking of? *
What kind of coat should your dog have? *
How much grooming are you comfortable with? *
What level of training would you like? *
How active would you like your dog to be? *
Where do you want your dog to spend their time?
What level of house training would you be comfortable with?
I agree to MADRA using my personal information in accordance with the Privacy Statement outlined on their website. *
Thank you so much for taking the time to fill this out, it really helps us to find the right companion for you! Please press the submit button to submit your form. You will be redirected back to the home page after submitting.