Duplin County Foster Pet Questionnaire

• Do you live in Duplin County? *
  Do you live in Duplin County?

  Yes No
• Email *
• What is your age? *
  What is your age?

  18-25 26-35 36-45 45+
• What do you prefer to foster? *
  What do you prefer to foster?

  Dogs Cats Puppies Kittens
• Do you have children? If yes, what ages? *
  Do you have children? If yes, what ages?

  No Yes, ages 0-5 Yes, ages 5-10 Yes, ages 10-15 Yes, ages 15+ Other Other
• Do you have other pets? *
  Do you have other pets?

  No Yes, Dogs Yes, Cats Yes, Dogs and Cats Yes, Other Pets Other Other
• Do you have reliable transportation? *
  Do you have reliable transportation?

  Yes No
• How would you best describe your lifestyle? *
  How would you best describe your lifestyle?

  Very Active Moderately Active I am laid back and not very active
• How many hours are you gone during the day? *
  How many hours are you gone during the day?

  I work from home 0-4 hours daily 4-8 hours daily 8-10 hours daily 10 hours +
• Are you willing and able to work through some minor behavioral issues some of our animals face? (ex. Separation anxiety, Inappropriate play, Chewing, Etc.) *
  Are you willing and able to work through some minor behavioral issues some of our animals face? (ex. Separation anxiety, Inappropriate play, Chewing, Etc.)

  Yes No Maybe
• Are you interested in fostering senior animals in need? *
  Are you interested in fostering senior animals in need?

  Yes No
• Are you able to administer medications if needed? *
  Are you able to administer medications if needed?

  Yes N