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  1. To help us place your dog in an environment best suited to his/her needs, please complete this questionnaire as completely and honestly as possible. Thank you!
  2. Gender
  3. When is the dog fed?
  4. The dog is kept:
  5. When the dog is outside, it is kept:
  6. Jumps fence
  7. Has the dog had any obedience training?
  8. Does the dog mind being picked up?
  9. Does the dog mind being held?
  10. Good with:
  11. Has the dog shown any aggression?
  12. Has the dog shown destructive behaviors?
  13. Select all that apply to the dog.
  14. Housebroken
  15. Good in car
  16. Allowed on furniture
  17. Jumps on furniture
  18. Crate trained
  19. Uses dog house
  20. Digs in yard
  21. Walks well on leash
  22. Barks
  23. I hereby acknowledge that the information, which I have given to the County of St. Charles, is accurate and that the animal is released to the County of St. Charles for disposition and that said County is the rightful owner and I will make no claims whatsoever against the County. I understand and agree that the County of St. Charles is under no obligation to adopt this animal and that the County may otherwise dispose of this animal as it deems necessary.
  24. Leave This Blank:

  25. This field is not part of the form submission.