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Format: (000) 000-0000.
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- Is the animal/s you are surrendering a stray, found, or abandoned animal?*
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- Is this animal part of a litter you are surrendering?*
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- Was this animal previously adopted from the Operation Kindness Humane Society or through one of our Pet Supply Plus/PetSmart partners or an offsite event?*
- When was this animal adopted?*
- Are you the original adopter of the animal?*
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- Current Weight*
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- When was your animal acquired?*
- Where was your animal acquired?*
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- Has your animal been diagnosed or treated for any of the following? (Check all that apply)*
- Is your animal currently on any medication (to treat medical condition or for behavior)?*
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- Is your animal currently on prescription or medicated food?*
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- Has your animal ever bitten or scratched you or another person?*
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- Have they nipped, bit, or scratched within the last 10 days?*
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- Did this incident break skin or cause bleeding?*
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- What type of medical treatment was needed for this incident?*
- How does your animal behave in a veterinary setting?*
- How does your dog walk on a leash?*
- How does your cat tolerate holding and handling?*
- Where is your cat kept?*
- Have there been any challenges keeping the cat inside?*
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- Is your cat litter box trained?*
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- How would you describe your cat's personality? (Check all that apply)*
- Does your dog attend daycare, or visit the dog park?*
- Have they ever lunged, barked, or snapped at other dogs/people while leashed?*
- Is your dog crate trained?*
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- Is your dog potty trained?*
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- Does your animal get along with dogs?*
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- Does your animal get along with cats?*
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- Does your animal get along with children?*
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- Does your animal get along with strangers?*
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- Are you needing assistance surrendering a second animal?*
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- Is this animal part of a litter you are surrendering?*
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- Was this animal previously adopted from the Operation Kindness Humane Society or through one of our Pet Supply Plus/PetSmart partners or an offsite event?*
- When was this animal adopted?*
- Are you the original adopter of the animal?*
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- Current Weight*
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- When was your animal acquired?*
- Where was your animal acquired?*
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- Has your animal been diagnosed or treated for any of the following? (Check all that apply)*
- Is your animal currently on any medication (to treat medical condition or for behavior)?*
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- Is your animal currently on prescription or medicated food?*
-
-
- Has your animal ever bitten or scratched you or another person?*
-
- Have they nipped, bit, or scratched within the last 10 days?*
-
- Did this incident break skin or cause bleeding?*
-
- What type of medical treatment was needed for this incident?*
- How does your animal behave in a veterinary setting?*
- How does your dog walk on a leash?*
- How does your cat tolerate holding and handling?*
- Where is your cat kept?*
- Have there been any challenges keeping the cat inside?*
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- Is your cat litter box trained?*
-
- How would you describe your cat's personality? (Check all that apply)*
- Does your dog attend daycare, or visit the dog park?*
- Have they ever lunged, barked, or snapped at other dogs/people while leashed?*
- Is your dog crate trained?*
-
- Is your dog potty trained?*
-
- Does your animal get along with dogs?*
-
- Does your animal get along with cats?*
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- Does your animal get along with children?*
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- Does your animal get along with strangers?*
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- Are you needing assistance surrendering a third animal?*
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- Is this animal part of a litter you are surrendering?*
-
- Was this animal previously adopted from the Operation Kindness Humane Society or through one of our Pet Supply Plus/PetSmart partners or an offsite event?*
- When was this animal adopted?*
- Are you the original adopter of the animal?*
-
-
-
-
-
-
-
-
- Current Weight*
-
- When was your animal acquired?*
- Where was your animal acquired?*
-
-
- Has your animal been diagnosed or treated for any of the following? (Check all that apply)*
- Is your animal currently on any medication (to treat medical condition or for behavior)?*
-
- Is your animal currently on prescription or medicated food?*
-
-
- Has your animal ever bitten or scratched you or another person?*
-
- Have they nipped, bit, or scratched within the last 10 days?*
-
- Did this incident break skin or cause bleeding?*
-
- What type of medical treatment was needed for this incident?*
- How does your animal behave in a veterinary setting?*
- How does your dog walk on a leash?*
- How does your cat tolerate holding and handling?*
- Where is your cat kept?*
- Have there been any challenges keeping the cat inside?*
-
- Is your cat litter box trained?*
-
- How would you describe your cat's personality? (Check all that apply)*
- Does your dog attend daycare, or visit the dog park?*
- Have they ever lunged, barked, or snapped at other dogs/people while leashed?*
- Is your dog crate trained?*
-
- Is your dog potty trained?*
-
- Does your animal get along with dogs?*
-
- Does your animal get along with cats?*
-
- Does your animal get along with children?*
-
- Does your animal get along with strangers?*
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- Are you needing assistance surrendering a fourth animal?*
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- Is this animal part of a litter you are surrendering?*
-
- Was this animal previously adopted from the Operation Kindness Humane Society or through one of our Pet Supply Plus/PetSmart partners or an offsite event?*
- When was this animal adopted?*
- Are you the original adopter of the animal?*
-
-
-
-
-
-
-
-
- Current Weight*
-
- When was your animal acquired?*
- Where was your animal acquired?*
-
-
- Has your animal been diagnosed or treated for any of the following? (Check all that apply)*
- Is your animal currently on any medication (to treat medical condition or for behavior)?*
-
- Is your animal currently on prescription or medicated food?*
-
-
- Has your animal ever bitten or scratched you or another person?*
-
- Have they nipped, bit, or scratched within the last 10 days?*
-
- Did this incident break skin or cause bleeding?*
-
- What type of medical treatment was needed for this incident?*
- How does your animal behave in a veterinary setting?*
- How does your dog walk on a leash?*
- How does your cat tolerate holding and handling?*
- Where is your cat kept?*
- Have there been any challenges keeping the cat inside?*
-
- Is your cat litter box trained?*
-
- How would you describe your cat's personality? (Check all that apply)*
- Does your dog attend daycare, or visit the dog park?*
- Have they ever lunged, barked, or snapped at other dogs/people while leashed?*
- Is your dog crate trained?*
-
- Is your dog potty trained?*
-
- Does your animal get along with dogs?*
-
- Does your animal get along with cats?*
-
- Does your animal get along with children?*
-
- Does your animal get along with strangers?*
-
-
-
-
- Are you needing assistance surrendering a fifth animal?*
-
- Is this animal part of a litter you are surrendering?*
-
- Was this animal previously adopted from the Operation Kindness Humane Society or through one of our Pet Supply Plus/PetSmart partners or an offsite event?*
- When was this animal adopted?*
- Are you the original adopter of the animal?*
-
-
-
-
-
-
-
-
- Current Weight*
-
- When was your animal acquired?*
- Where was your animal acquired?*
-
-
- Has your animal been diagnosed or treated for any of the following? (Check all that apply)*
- Is your animal currently on any medication (to treat medical condition or for behavior)?*
-
- Is your animal currently on prescription or medicated food?*
-
-
- Has your animal ever bitten or scratched you or another person?*
-
- Have they nipped, bit, or scratched within the last 10 days?*
-
- Did this incident break skin or cause bleeding?*
-
- What type of medical treatment was needed for this incident?*
- How does your animal behave in a veterinary setting?*
- How does your dog walk on a leash?*
- How does your cat tolerate holding and handling?*
- Where is your cat kept?*
- Have there been any challenges keeping the cat inside?*
-
- Is your cat litter box trained?*
-
- How would you describe your cat's personality? (Check all that apply)*
- Does your dog attend daycare, or visit the dog park?*
- Have they ever lunged, barked, or snapped at other dogs/people while leashed?*
- Is your dog crate trained?*
-
- Is your dog potty trained?*
-
- Does your animal get along with dogs?*
-
- Does your animal get along with cats?*
-
- Does your animal get along with children?*
-
- Does your animal get along with strangers?*
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- If the Operation Kindness Humane Society could provide any of the resources below, would it prevent the need to surrender your pet?*
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- Should be Empty: