Pug Rescue of Florida & Georgia

Adopter Phone Interview Form

Volunteer Info

Volunteer Name:

Interview Date:

Applicant Info

Applicant's Name:

City:

State:

Dog(s) Applied For:

Open to other match?

Yes No

Age(s) Desired:

Color Preference:

Fawn Black Either

Open to Mix?

Yes No

Gender Preference:

Male Female Either

Open to Bonded Pair?

Yes No

Activity Level Desired:

Very Active Not Active In Between

Household Members

Who Lives In The Home (Names & Ages):

Children Under 18?

Yes No

Other frequent visitors (Name(s)):

Current Pets

Information About Current Pets:

More About the Home

Describe Their Perfect Pug:

Daily Schedule (Hours dog left alone, etc):

Owned Previous Pugs? Details:

Medical Experience

Final Questions

Adoption Timeframe:

Interviewer Notes:

How far willing to travel for a match?

Home Visit Availability (Days/Times):

Recommended Type/Foster Dog: