Let’s work together 1. List your contact information? * First Name Last Name Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country 2. List all family members currently living in your household (include ages of children). Yourself, Your Partner (if applicable), Children, Other 3. Are you a first-time dog owner? Yes No Describe your prior experience with dogs: 5. What is your current occupation? Your Occupation, Partner's Occupation (if applicable) 6. Are you expecting any of the following significant life events in the next 12 months? Check all that apply. Changing jobs Adding a new family member Moving to a new home locally Moving to a new home not locally Not expecting any significant life events in the next 12 months Other (please specify) 7. Describe your indoor living space? We live in a home that we own We live in a condo or townhome that we own We live in an apartment that we rent Other (please specify) Thank you!
