QUESTIONNAIRE for BREED RESCUE GROUPS &/or INDIVIDUALS

IN AN EFFORT TO ENABLE OUR GOVERNMENTALLY - OPERATED ANIMAL SHELTER TO WORK WITH YOUR RESCUE EFFORTS, IT WOULD BE APPRECIATED IF YOU WOULD FILL OUT THE FOLLOWING QUESTIONNAIRE. THIS WILL ALLOW US TO REVIEW YOUR REQUEST FOR A COOPERATIVE EFFORT. ANIMAL SERVICE SHELTERS ARE MANDATED BY LOUISIANA STATE LAW: R.S: 3:2471 - 2476 TO INSURE ALL ANIMALS ADOPTED FROM A SHELTER ARE TO BE SPAYED OR NEUTERED.

Name:
Address:
Home Phone #:
Work/Message Phone #:

HISTORY:

A: How long has you &/or your group been doing rescues? (Brief explanation)

B: What is your availability for support to sheltering organizations? Referral Service Physical Rescue Advice on breed specific details Breeder.

C: Do you accept mixes of your breed? (MIX BREEDS)
Yes No

ANIMAL CARE:

Do you currently house purebred animals?
Yes No

(if yes please answer the following):

Location Address:

Name & Address of Veterinarian:

Facility for housing animals:
Yes No

Capacity:

Advance Notice ?:
Yes No

RESTRICTIONS?:

Can you provide veterinary care for sick/injured/orphaned/purebreds?
Yes No

ADOPTIONS:

Do you maintain a waiting list of potential adopters?
Yes No

What is your placement / adoption procedure?
Personal Interview Contract for Adoption
Landlord Approval
Veterinary Background Check
Spay/Neuter Requirements
Accept Returns
Adoption Fee
Post Adoption Follow-Up (person, phone, mail)
Other

OUTREACH:

Are you interested in offering support for your breed with Lost & Found Programs?
Yes No

Would you be interested in helping with breed-specific training for staff and/or public education programs on "Responsible Pet Care"?
Yes No

COMMENTS: