Small Animal Surrender Questionnaire

Fill Out Small Animal Surrender Questionnaire

PLEASE READ BEFORE SUBMITTING THIS FORM:

Lake Humane Society is a managed intake facility, which means we do not euthanize healthy animals for time or space. All of our animals that come in, stay until they are adopted out to loving homes! Because of this, we almost always work off of a waitlist for new intakes and schedule surrender appointments based off of the amount of adoptions we go through in a day, on top of helping any animals our humane agent may bring in.

Please be patient as we are experiencing a staffing transition in our intake department. We will do our best to accommodate your request within 5-7 business days.

While we try to help any animal that needs to be surrendered, there are circumstances that the animal may not be a good fit at our facility. If we cannot accept it, we will try to provide any other resources we may have to help assist you.

PLEASE NOTE: Intakes are by appointment only.

**Please write “Not applicable or N/A” to any required question that does not pertain to your pet.

 

Small Animal Surrender Questionnaire

"*" indicates required fields

Name*
(please make sure this is accurate as this is how the intake coordinator will reach out to you once this form is submitted).
Address*
Male/Female?*
Spayed/Neutered?*
Choose one:*
Have you attempted to contact and return your pet to where you got them from?*

Where does this pet primarily live?*

How would you describe your pet? Check all that apply.*
Approximately how many hours a day is the pet out of its cage/housing?*
Who all lives in the home? Check all that apply.*
Is your pet litter box trained?*

How is the pet accustomed to drinking water?*
Has your pet ever bitten someone?*
What is the pet's personality like? Check all that apply.*
Please email a recent photo of your pet to intake@lakehumane.org (Please put the name that this survey is being submitted under and the cat's name as the subject line.)*
We understand giving up your pet is extremely hard. Before surrendering, would you like to discuss resources or avenues to help keep you and your pet together?*
I understand that by submitting this form it is not guaranteed that Lake Humane Society will be able to take this pet.*
This field is for validation purposes and should be left unchanged.