Blue Ridge Bernese Mountain Dog Club
Questionnaire for Prospective Rescue Adoption
Have you ever owned or personally known a Bernese Mountain Dog?
Why do you want a Bernese Mountain Dog?
How did you learn about the breed?
Tell us what you know about the health problems in this breed:
Why have you decided to bring a rescue Bernese into your home instead of obtaining a pet from a breeder?
Have you ever owned a dog before?
Do you currently have any other pets?
Have you ever had to surrender a pet to a rescue program, shelter or back to its breeder?
Please describe the characteristics of the perfect dog for your situation:
Do you own or rent your home?
If so, what are they?
Are they spayed/neutered?
Where are your pets housed and fed?
How will you introduce a new dog to them?
If you rent, has you landlord agreed to allow a large dog to live with you on the premises?
Do you have a fenced in yard?
If yes, please describe the fenced area and its relationship to the house, its height, gates, and size of the area.
If no, how will you restrain the dog when outside?
Will someone be home with the dog during the day?
If no, how long will the dog be alone and where will it stay?
Where will the dog stay at night?
How many adults are living in your house?
How many children are living in your house and what are their ages?
Is everyone living in your house happy about bringing a Berner into your household?
What will you do with the dog when you travel away from your home?
What is your preference for the dog you will be getting?
Would you be willing to adopt a Berner with special needs, such as illness, older, in need of surgery, blind, deaf?
Would you be willing to adopt a Berner with behavioral problems?
If yes, would you have time to attend classes to help resolve those behavioral issues and help prevent problems with this placement?
What behavioral problems do you consider intolerable?
Are you prepared and willing to spend over $150 a year on vaccination, heart worm preventative and flea control?
Are you prepared and willing to spend whatever it takes to deal with non-routine emergency care and care for your dog as it ages?
Will you allow us to visit your home and check references to verify the information you have provided?
Please provide the name, address and phone number of the vet you have been using to care for your pets.
Please provide the name, address and phone number of your landloard if you are renting your house.
After you have completed the above questionnaire and you are satisfied you have answered the questions completely and honestly, please print this page and save it for your records. Then click on the submit button below. Clicking on the submit button transmits this document to our rescue chair and signifies your acceptance of your answers and stands as your signature on this questionnaire.
We will contact you when we can talk to resolve any questions we have and to answer any questions you might have. Thank you for taking the time to fill out this questionnaire.
If yes, please tell us why.
If yes, what breed(s) and sex(es).
How old were they when they came to live with you?
Did they live out their lives with you and how long was that?
Where did live before they came to live with you?
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