PUPPY SWAP QUESTIONNAIRE Provide us with the information we need to do a successful puppy swap. About YouPuppy-Raiser Name* First Last Email What region are you in?*Lower Mainland, BCOkanagan, BCCalgary, ABAbout The Puppy/DogDog Name*Please use the dog's full name (i.e. Fido II not just Fido)Dog's Birthdate* MM slash DD slash YYYY What puppy class is your dog currently assigned to?*BrownBurgundyMagentaRedBlueNavyBlackPurpleOrangeGreenPinkTurquoiseAbout Your Household/LifestyleThe Puppy/Dog has been regularly exposed to* Mall Transit Cats Other Dogs Elementary School Secondary School College/University Working in an Office Heavy Traffic Other Dogs Cats Water/Lakes Horses Other Animals Men in the home Women in the home Working in an office Number of Adults (18+) in the Home (Including Yourself)*12345Number of Children (Aged 0-2 years)*012345Number of Children (Aged 3-6 years)*012345Number of Children (Aged 7-12 years)*012345Number of Children (Aged 13-18 years)*012345What kind of home do you live in?*Single Family DetachedTownhouseApartmentWhat kind of transportation do you use in an average week?Check any/all that apply Car SUV Truck Van Bus Skytrain Seabus Westcoast Express Walk What kinds of other pets do you have?*Check any/all that apply Bird Rabbit Cat Pet Dog Another PADS Dog Other None Community*DowntownUrbanSuburbanRuralDoes your dog accompany you to work?*YesNoDescribe your work environmentDescribe any unique socialization opportunities your lifestyle would includeI.e. Hockey Rinks, Horses, etcAre there any limitations on the type of dog you can take?*Please describePlease include any other information you would like us to consider when assigning a puppy to you for puppy swap/assigning your puppy to another puppy - raiser:*Please describeAre you willing to mentor new raisersYesNoNot Sure YetCAPTCHA