{"id":16,"date":"2023-03-31T08:10:27","date_gmt":"2023-03-31T08:10:27","guid":{"rendered":"https:\/\/pugpros.org\/form\/?page_id=16"},"modified":"2023-03-31T08:15:18","modified_gmt":"2023-03-31T08:15:18","slug":"foster-application","status":"publish","type":"page","link":"https:\/\/pugpros.org\/form\/foster-application\/","title":{"rendered":"Foster Application"},"content":{"rendered":"<div class=\"form-title\">\n<h4>Foster Application<\/h4>\n<\/div>\n<p><!-- --><\/p>\n<div class=\"form-container\">\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f10-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"10\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/form\/wp-json\/wp\/v2\/pages\/16#wpcf7-f10-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"10\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f10-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div id=\"applicationform\">\n\t<section class=\"applicationform-section\">\n\t\t<h2>Your General Information\n\t\t<\/h2>\n\t\t<div class=\"set3 clearfix\">\n\t\t\t<div class=\"application-q\">\n\t\t\t\t<p><label for=\"first-name\">First Name<span class=\"required\">&#42;<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"first-name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"application-q\">\n\t\t\t\t<p><label for=\"middle-name\">Middle Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"middle-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"middle-name\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"middle-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"application-q\">\n\t\t\t\t<p><label for=\"last-name\">Last Name<span class=\"required\">&#42;<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"last-name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"application-q\">\n\t\t\t<p><label for=\"staddress1\">Street Address 1<span class=\"required\">&#42;<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"staddress1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"staddress1\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"staddress1\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"application-q\">\n\t\t\t<p><label for=\"staddress2\">Street Address 2<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"staddress2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"staddress2\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"staddress2\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"set3 clearfix\">\n\t\t\t<div class=\"application-q\">\n\t\t\t\t<p><label for=\"city\">City<span class=\"required\">&#42;<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"city\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"application-q\">\n\t\t\t\t<p><label for=\"state\">State<span class=\"required\">&#42;<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"state\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"state\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"application-q\">\n\t\t\t\t<p><label for=\"zip\">Zip<span class=\"required\">&#42;<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"zip\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"zip\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zip\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"application-q\">\n\t\t\t<p><label for=\"youremail\">Email Address<span class=\"required\">&#42;<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"youremail\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" id=\"youremail\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"youremail\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"set3 clearfix\">\n\t\t\t<div class=\"application-q\">\n\t\t\t\t<p><label for=\"homephone\">Home Phone Number<span class=\"required\">&#42;<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"homephone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" id=\"homephone\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"homephone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"application-q\">\n\t\t\t\t<p><label for=\"workphone\">Work Phone Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"workphone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" id=\"workphone\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"workphone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"application-q\">\n\t\t\t\t<p><label for=\"cellphone\">Cell Phone Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cellphone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" id=\"cellphone\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"cellphone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"application-q\">\n\t\t\t<p><label for=\"occupation\">Occupation\/Profession<span class=\"required\">&#42;<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"occupation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"occupation\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"occupation\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"application-q\">\n\t\t\t<p><label for=\"employer\">Employed by (Name\/City)<span class=\"required\">&#42;<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"employer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"employer\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"employer\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"application-q\">\n\t\t\t<p><label for=\"workhours\">Hours worked per day<span class=\"required\">&#42;<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"workhours\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"workhours\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"workhours\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"application-q\">\n\t\t\t<p><label for=\"yourage\">Age<span class=\"required\">&#42;<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"yourage\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"yourage\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"yourage\" value=\"20&#039;s\" \/><span class=\"wpcf7-list-item-label\">20&#039;s<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"yourage\" value=\"30&#039;s\" \/><span class=\"wpcf7-list-item-label\">30&#039;s<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"yourage\" value=\"40&#039;s\" \/><span class=\"wpcf7-list-item-label\">40&#039;s<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"yourage\" value=\"50&#039;s\" \/><span class=\"wpcf7-list-item-label\">50&#039;s<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"yourage\" value=\"60&#039;s\" \/><span class=\"wpcf7-list-item-label\">60&#039;s<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"yourage\" value=\"70&#039;s\" \/><span class=\"wpcf7-list-item-label\">70&#039;s<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/section>\n\t<section class=\"applicationform-section\">\n\t\t<h2>Spouse \/ Partner \/ Roommate\n\t\t<\/h2>\n\t\t<div class=\"set3 clearfix\">\n\t\t\t<div class=\"application-q\">\n\t\t\t\t<p><label for=\"partner-first-name\">First Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"partner-first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"partner-first-name\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"partner-first-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"application-q\">\n\t\t\t\t<p><label for=\"partner-middle-name\">Middle Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"partner-middle-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"partner-middle-name\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"partner-middle-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"application-q\">\n\t\t\t\t<p><label for=\"partner-last-name\">Last Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"partner-last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"partner-last-name\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"partner-last-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"set3 clearfix\">\n\t\t\t<div class=\"application-q\">\n\t\t\t\t<p><label for=\"partner-workphone\">Work Phone Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"partner-workphone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" id=\"partner-workphone\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"partner-workphone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"application-q\">\n\t\t\t\t<p><label for=\"partner-cellphone\">Cell Phone Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"partner-cellphone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" id=\"partner-cellphone\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"partner-cellphone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"application-q\">\n\t\t\t<p><label for=\"partner-occupation\">Occupation\/Profession<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"partner-occupation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"partner-occupation\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"partner-occupation\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"application-q\">\n\t\t\t<p><label for=\"partner-employer\">Employed by (Name\/City)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"partner-employer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"partner-employer\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"partner-employer\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"application-q\">\n\t\t\t<p><label for=\"partner-workhours\">Hours worked per day<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"partner-workhours\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"partner-workhours\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"partner-workhours\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"application-q\">\n\t\t\t<p><label for=\"partner-age\">Age<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"partner-age\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"partner-age\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"partner-age\" value=\"20&#039;s\" \/><span class=\"wpcf7-list-item-label\">20&#039;s<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"partner-age\" value=\"30&#039;s\" \/><span class=\"wpcf7-list-item-label\">30&#039;s<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"partner-age\" value=\"40&#039;s\" \/><span class=\"wpcf7-list-item-label\">40&#039;s<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"partner-age\" value=\"50&#039;s\" \/><span class=\"wpcf7-list-item-label\">50&#039;s<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"partner-age\" value=\"60&#039;s\" \/><span class=\"wpcf7-list-item-label\">60&#039;s<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"partner-age\" value=\"70&#039;s\" \/><span class=\"wpcf7-list-item-label\">70&#039;s<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"partner-age\" value=\"N\/A\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">N\/A<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"application-q\">\n\t\t\t<p><label for=\"other-partner\">Other adults and children (ages) living in home<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"other-partner\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"other-partner\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"other-partner\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/section>\n\t<section class=\"applicationform-section\">\n\t\t<h2>Questions\n\t\t<\/h2>\n\t\t<table id=\"applicationform-table\">\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Why do you want to foster a pug? <span class=\"qnum\">001<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"whyfosterpug\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"whyfosterpug\" aria-invalid=\"false\" name=\"whyfosterpug\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>As the main person filling out this application, are you the primary care person? <span class=\"qnum\">002<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"prmary\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"prmary\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"prmary\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"prmary\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Are you physically able to take care of the pug? <span class=\"qnum\">003<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"takecare\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"takecare\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"takecare\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"takecare\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Are you able to lift a 20 pound animal? <span class=\"qnum\">004<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"twentypounds\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"twentypounds\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"twentypounds\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"twentypounds\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Are you a United States Citizen? <span class=\"qnum\">005<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"uscitizen\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"uscitizen\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"uscitizen\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"uscitizen\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Are you a year round CA resident? <span class=\"qnum\">006<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"caresident\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"caresident\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"caresident\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"caresident\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Does anyone in the home smoke? <span class=\"qnum\">007<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"smoke\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"smoke\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"smoke\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"smoke\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you have changing roommates? <span class=\"qnum\">008<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"changingroommate\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"changingroommate\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"changingroommate\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"changingroommate\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you want a pug to give as a gift? <span class=\"qnum\">009<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pugasgift\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"pugasgift\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"pugasgift\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"pugasgift\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Is anyone in the home terminally ill? <span class=\"qnum\">010<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"anyoneill\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"anyoneill\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"anyoneill\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"anyoneill\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you rent or own? <span class=\"qnum\">011<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"rentorown\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"rentorown\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"rentorown\" value=\"Rent\" \/><span class=\"wpcf7-list-item-label\">Rent<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"rentorown\" value=\"Own\" \/><span class=\"wpcf7-list-item-label\">Own<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>What type of residence do you live in (ie. house, condo, apartment, mobile home, etc.)? <span class=\"qnum\">012<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"residencetype\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"residencetype\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"residencetype\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you live on\/near open water? <span class=\"qnum\">013<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"openwater\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"openwater\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"openwater\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"openwater\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Is anyone in home (over 18) not able to take care of the pug? <span class=\"qnum\">014<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"canttakecare\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"canttakecare\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"canttakecare\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"canttakecare\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Have any of the applicants ever been cited or fined for animal related situations? <span class=\"qnum\">015<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"citedfined\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"citedfined\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"citedfined\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"citedfined\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Have you been denied adoption from another rescue group or shelter? <span class=\"qnum\">016<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"adoptiondenied\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"adoptiondenied\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"adoptiondenied\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"adoptiondenied\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Is anyone in your household allergic to dogs? <span class=\"qnum\">017<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"anyoneallergic\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"anyoneallergic\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"anyoneallergic\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"anyoneallergic\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Does anyone in the home not want the pug? <span class=\"qnum\">018<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"notwantpug\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"notwantpug\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"notwantpug\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"notwantpug\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If Yes, explain.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"notwantpugexplain\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"notwantpugexplain\" aria-invalid=\"false\" name=\"notwantpugexplain\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you travel on business? <span class=\"qnum\">019<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"businesstrip\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"businesstrip\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"businesstrip\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"businesstrip\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If Yes, how often?\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"businesstripfreq\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"businesstripfreq\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"businesstripfreq\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you travel for pleasure? <span class=\"qnum\">020<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"travel\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"travel\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"travel\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"travel\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If Yes, how often?\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"travelfreq\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"travelfreq\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"travelfreq\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do your animals travel with you? <span class=\"qnum\">021<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"travelwithanimals\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"travelwithanimals\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"travelwithanimals\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"travelwithanimals\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If Yes, how often?\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"travelwithanimalsfreq\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"travelwithanimalsfreq\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"travelwithanimalsfreq\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Does anyone in your family work from home? <span class=\"qnum\">022<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"workfromhome\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"workfromhome\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"workfromhome\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"workfromhome\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Is anyone in the home subject to transfer? <span class=\"qnum\">023<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"anyonetransfer\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"anyonetransfer\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"anyonetransfer\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"anyonetransfer\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If Yes, how often?\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"anyonetransferfreq\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"anyonetransferfreq\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"anyonetransferfreq\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Will you have any major lifestyle changes in the near future? (ie. expecting child, moving, etc.) <span class=\"qnum\">024<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"lifestylechange\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"lifestylechange\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"lifestylechange\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"lifestylechange\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If Yes, explain.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"lifestylechangeexplain\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"lifestylechangeexplain\" aria-invalid=\"false\" name=\"lifestylechangeexplain\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Have you ever owned a pug before? <span class=\"qnum\">025<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ownedpugbefore\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"ownedpugbefore\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"ownedpugbefore\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"ownedpugbefore\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Have you ever lived with a pug before? <span class=\"qnum\">026<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"livedwithpugbefore\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"livedwithpugbefore\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"livedwithpugbefore\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"livedwithpugbefore\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Have you ever lived with a dog before? <span class=\"qnum\">027<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"livedwithdogbefore\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"livedwithdogbefore\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"livedwithdogbefore\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"livedwithdogbefore\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you currently own a dog? <span class=\"qnum\">028<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"havedog\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"havedog\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"havedog\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"havedog\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If Yes, how many?\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"havedoghowmany\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"havedoghowmany\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"havedoghowmany\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>Describe each.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<table class=\"breedtable\">\n\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t<th rowspan=\"4\">\n\t\t\t\t\t\t\t\t<p>1\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<td class=\"breedq\">\n\t\t\t\t\t\t\t\t<p>Breed\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dog1breed\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"dog1breed\" aria-invalid=\"false\" value=\"N\/A\" type=\"text\" name=\"dog1breed\" \/><\/span>\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t<td class=\"breedq\">\n\t\t\t\t\t\t\t\t<p>Age\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dog1age\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" id=\"dog1age\" min=\"0\" max=\"25\" aria-invalid=\"false\" value=\"0\" type=\"number\" name=\"dog1age\" \/><\/span>\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t<td class=\"breedq\">\n\t\t\t\t\t\t\t\t<p>Character\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dog1chara\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"dog1chara\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"dog1chara\" value=\"Active\" \/><span class=\"wpcf7-list-item-label\">Active<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"dog1chara\" value=\"Mellow\" \/><span class=\"wpcf7-list-item-label\">Mellow<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"dog1chara\" value=\"Alpha\" \/><span class=\"wpcf7-list-item-label\">Alpha<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"dog1chara\" value=\"Don&#039;t have one.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Don&#039;t have one.<\/span><\/span><\/span><\/span>\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t<td class=\"breedq\">\n\t\t\t\t\t\t\t\t<p>Gender\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dog1gender\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"dog1gender\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"dog1gender\" value=\"M\" \/><span class=\"wpcf7-list-item-label\">M<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"dog1gender\" value=\"F\" \/><span class=\"wpcf7-list-item-label\">F<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"dog1gender\" value=\"Don&#039;t have one.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Don&#039;t have one.<\/span><\/span><\/span><\/span>\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t<\/table>\n\t\t\t\t\t<table class=\"breedtable\">\n\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t<th rowspan=\"4\">\n\t\t\t\t\t\t\t\t<p>2\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<td class=\"breedq\">\n\t\t\t\t\t\t\t\t<p>Breed\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dog2breed\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"dog2breed\" aria-invalid=\"false\" value=\"N\/A\" type=\"text\" name=\"dog2breed\" \/><\/span>\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t<td class=\"breedq\">\n\t\t\t\t\t\t\t\t<p>Age\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dog2age\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" id=\"dog2age\" min=\"0\" max=\"25\" aria-invalid=\"false\" value=\"0\" type=\"number\" name=\"dog2age\" \/><\/span>\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t<td class=\"breedq\">\n\t\t\t\t\t\t\t\t<p>Character\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dog2chara\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"dog2chara\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"dog2chara\" value=\"Active\" \/><span class=\"wpcf7-list-item-label\">Active<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"dog2chara\" value=\"Mellow\" \/><span class=\"wpcf7-list-item-label\">Mellow<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"dog2chara\" value=\"Alpha\" \/><span class=\"wpcf7-list-item-label\">Alpha<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"dog2chara\" value=\"Don&#039;t have one.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Don&#039;t have one.<\/span><\/span><\/span><\/span>\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t<td class=\"breedq\">\n\t\t\t\t\t\t\t\t<p>Gender\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dog2gender\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"dog2gender\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"dog2gender\" value=\"M\" \/><span class=\"wpcf7-list-item-label\">M<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"dog2gender\" value=\"F\" \/><span class=\"wpcf7-list-item-label\">F<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"dog2gender\" value=\"Don&#039;t have one.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Don&#039;t have one.<\/span><\/span><\/span><\/span>\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t<\/table>\n\t\t\t\t\t<table class=\"breedtable\">\n\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t<th rowspan=\"4\">\n\t\t\t\t\t\t\t\t<p>3\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<td class=\"breedq\">\n\t\t\t\t\t\t\t\t<p>Breed\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dog3breed\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"dog3breed\" aria-invalid=\"false\" value=\"N\/A\" type=\"text\" name=\"dog3breed\" \/><\/span>\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t<td class=\"breedq\">\n\t\t\t\t\t\t\t\t<p>Age\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dog3age\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" id=\"dog3age\" min=\"0\" max=\"25\" aria-invalid=\"false\" value=\"0\" type=\"number\" name=\"dog3age\" \/><\/span>\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t<td class=\"breedq\">\n\t\t\t\t\t\t\t\t<p>Character\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dog3chara\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"dog3chara\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"dog3chara\" value=\"Active\" \/><span class=\"wpcf7-list-item-label\">Active<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"dog3chara\" value=\"Mellow\" \/><span class=\"wpcf7-list-item-label\">Mellow<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"dog3chara\" value=\"Alpha\" \/><span class=\"wpcf7-list-item-label\">Alpha<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"dog3chara\" value=\"Don&#039;t have one.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Don&#039;t have one.<\/span><\/span><\/span><\/span>\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t<td class=\"breedq\">\n\t\t\t\t\t\t\t\t<p>Gender\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dog3gender\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"dog3gender\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"dog3gender\" value=\"M\" \/><span class=\"wpcf7-list-item-label\">M<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"dog3gender\" value=\"F\" \/><span class=\"wpcf7-list-item-label\">F<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"dog3gender\" value=\"Don&#039;t have one.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Don&#039;t have one.<\/span><\/span><\/span><\/span>\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t<\/table>\n\t\t\t\t\t<table class=\"breedtable\">\n\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t<th rowspan=\"4\">\n\t\t\t\t\t\t\t\t<p>4\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<td class=\"breedq\">\n\t\t\t\t\t\t\t\t<p>Breed\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dog4breed\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"dog4breed\" aria-invalid=\"false\" value=\"N\/A\" type=\"text\" name=\"dog4breed\" \/><\/span>\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t<td class=\"breedq\">\n\t\t\t\t\t\t\t\t<p>Age\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dog4age\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" id=\"dog4age\" min=\"0\" max=\"25\" aria-invalid=\"false\" value=\"0\" type=\"number\" name=\"dog4age\" \/><\/span>\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t<td class=\"breedq\">\n\t\t\t\t\t\t\t\t<p>Character\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dog4chara\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"dog4chara\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"dog4chara\" value=\"Active\" \/><span class=\"wpcf7-list-item-label\">Active<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"dog4chara\" value=\"Mellow\" \/><span class=\"wpcf7-list-item-label\">Mellow<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"dog4chara\" value=\"Alpha\" \/><span class=\"wpcf7-list-item-label\">Alpha<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"dog4chara\" value=\"Don&#039;t have one.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Don&#039;t have one.<\/span><\/span><\/span><\/span>\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t<td class=\"breedq\">\n\t\t\t\t\t\t\t\t<p>Gender\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dog4gender\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"dog4gender\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"dog4gender\" value=\"M\" \/><span class=\"wpcf7-list-item-label\">M<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"dog4gender\" value=\"F\" \/><span class=\"wpcf7-list-item-label\">F<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"dog4gender\" value=\"Don&#039;t have one.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Don&#039;t have one.<\/span><\/span><\/span><\/span>\n\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t<\/table>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>Do any of your dogs have any physical problems?\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dogphysicprob\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"dogphysicprob\" aria-invalid=\"false\" name=\"dogphysicprob\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>Do any of your dogs have dominance problems?\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dogdominanprob\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"dogdominanprob\" aria-invalid=\"false\" name=\"dogdominanprob\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>Do any of your dogs not get along with other dogs?\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"notgetalong\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"notgetalong\" aria-invalid=\"false\" name=\"notgetalong\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Have you ever had an animal euthanized? <span class=\"qnum\">029<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"evereuthanized\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"evereuthanized\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"evereuthanized\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"evereuthanized\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If Yes, explain.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"evereuthanizedexplain\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"evereuthanizedexplain\" aria-invalid=\"false\" name=\"evereuthanizedexplain\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you have a cat or cats? <span class=\"qnum\">030<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"havecat\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"havecat\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"havecat\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"havecat\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If Yes, how many?\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"howmanycats\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"howmanycats\" aria-invalid=\"false\" name=\"howmanycats\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>Are they dog friendly?\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dogfriendly\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"dogfriendly\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"dogfriendly\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"dogfriendly\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"dogfriendly\" value=\"N\/A\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">N\/A<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Have you ever lost an animal? <span class=\"qnum\">031<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"lostanimal\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"lostanimal\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"lostanimal\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"lostanimal\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If Yes, was the animal found?\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"animalfound\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"animalfound\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"animalfound\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"animalfound\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"animalfound\" value=\"Never lost\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Never lost<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Have you ever taken an animal to a shelter or released an animal to another party? <span class=\"qnum\">032<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"releasedanimal\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"releasedanimal\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"releasedanimal\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"releasedanimal\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If Yes, explain.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"releasedanimalexplain\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"releasedanimalexplain\" aria-invalid=\"false\" name=\"releasedanimalexplain\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Have you ever bred animals for pleasure or profit? <span class=\"qnum\">033<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"everbred\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"everbred\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"everbred\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"everbred\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Are you familiar with the animal control regulations in your area? <span class=\"qnum\">034<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"animalcontrolreg\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"animalcontrolreg\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"animalcontrolreg\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"animalcontrolreg\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Are all of your current household animals spayed or neutered? <span class=\"qnum\">035<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"spayedorneutered\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"spayedorneutered\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"spayedorneutered\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"spayedorneutered\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Are all of your household animals current on vaccinations? <span class=\"qnum\">036<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"currentvaccinations\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"currentvaccinations\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"currentvaccinations\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"currentvaccinations\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>What type of pug do you prefer? Check all that apply. <span class=\"qnum\">037<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"typeofpug\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"typeofpug\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"typeofpug[]\" value=\"Fawn\" \/><span class=\"wpcf7-list-item-label\">Fawn<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"typeofpug[]\" value=\"Black\" \/><span class=\"wpcf7-list-item-label\">Black<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"typeofpug[]\" value=\"Brindle\" \/><span class=\"wpcf7-list-item-label\">Brindle<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"typeofpug[]\" value=\"No Color Preference\" \/><span class=\"wpcf7-list-item-label\">No Color Preference<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"typeofpug[]\" value=\"Male\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"typeofpug[]\" value=\"Female\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"typeofpug[]\" value=\"No Gender Preference\" \/><span class=\"wpcf7-list-item-label\">No Gender Preference<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"typeofpug[]\" value=\"1-4 yr\" \/><span class=\"wpcf7-list-item-label\">1-4 yr<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"typeofpug[]\" value=\"5-8 yr\" \/><span class=\"wpcf7-list-item-label\">5-8 yr<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"typeofpug[]\" value=\"9+ yr\" \/><span class=\"wpcf7-list-item-label\">9+ yr<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"typeofpug[]\" value=\"No Age Preference\" \/><span class=\"wpcf7-list-item-label\">No Age Preference<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"typeofpug[]\" value=\"Special Needs\" \/><span class=\"wpcf7-list-item-label\">Special Needs<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Would you foster a special needs pug? <span class=\"qnum\">038<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fosterspecialneeds\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"fosterspecialneeds\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"fosterspecialneeds\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"fosterspecialneeds\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If open to special needs, please check which special need(s) you would accept. Check all that apply.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"specialneedstypes\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"specialneedstypes\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"specialneedstypes[]\" value=\"Blind\" \/><span class=\"wpcf7-list-item-label\">Blind<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"specialneedstypes[]\" value=\"Deaf\" \/><span class=\"wpcf7-list-item-label\">Deaf<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"specialneedstypes[]\" value=\"Diabetic\" \/><span class=\"wpcf7-list-item-label\">Diabetic<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"specialneedstypes[]\" value=\"Epileptic\" \/><span class=\"wpcf7-list-item-label\">Epileptic<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"specialneedstypes[]\" value=\"Arthritis\" \/><span class=\"wpcf7-list-item-label\">Arthritis<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"specialneedstypes[]\" value=\"Allergies\" \/><span class=\"wpcf7-list-item-label\">Allergies<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"specialneedstypes[]\" value=\"Daily Medications\" \/><span class=\"wpcf7-list-item-label\">Daily Medications<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"specialneedstypes[]\" value=\"Incontinent\" \/><span class=\"wpcf7-list-item-label\">Incontinent<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"specialneedstypes[]\" value=\"Can&#039;t climb stairs\" \/><span class=\"wpcf7-list-item-label\">Can&#039;t climb stairs<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"specialneedstypes[]\" value=\"Back Problems\" \/><span class=\"wpcf7-list-item-label\">Back Problems<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Are you open to fostering a pug mix? <span class=\"qnum\">039<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fosterpugmix\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"fosterpugmix\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"fosterpugmix\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"fosterpugmix\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Is there anything else specific you are looking for in a pug? <span class=\"qnum\">040<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"anythingelseinpug\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"anythingelseinpug\" aria-invalid=\"false\" name=\"anythingelseinpug\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Are you able to take the pug to the vet? <span class=\"qnum\">041<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pugtothevet\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"pugtothevet\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"pugtothevet\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"pugtothevet\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Are you willing to meet with prospective adopters? <span class=\"qnum\">042<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"meetadopters\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"meetadopters\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"meetadopters\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"meetadopters\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Can you deal with a pug that snores? <span class=\"qnum\">043<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dealwithsnores\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"dealwithsnores\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"dealwithsnores\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"dealwithsnores\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Can you deal with a pug that scratches to communicate? <span class=\"qnum\">044<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dealwithscratches\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"dealwithscratches\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"dealwithscratches\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"dealwithscratches\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Can you deal with a pug that may bark? <span class=\"qnum\">045<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dealwithbark\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"dealwithbark\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"dealwithbark\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"dealwithbark\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Can you deal with a pug that has accidents or may become incontinent? <span class=\"qnum\">046<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dealwithaccidents\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"dealwithaccidents\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"dealwithaccidents\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"dealwithaccidents\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Can you deal with a pug that licks? <span class=\"qnum\">047<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dealwithlicks\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"dealwithlicks\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"dealwithlicks\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"dealwithlicks\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Can you deal with a pug that sheds a lot? <span class=\"qnum\">048<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dealwithshedding\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"dealwithshedding\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"dealwithshedding\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"dealwithshedding\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Are you willing to house train a new pug? <span class=\"qnum\">049<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"housetrain\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"housetrain\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"housetrain\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"housetrain\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Are you willing to trim the nails or have the pugs nails trimmed on a regular basis? <span class=\"qnum\">050<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"trimnails\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"trimnails\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"trimnails\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"trimnails\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Are you willing to administer daily eye drops or medicine to the pug if needed? <span class=\"qnum\">051<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"eyedrops\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"eyedrops\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"eyedrops\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"eyedrops\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Are you willing to have the pugs anal gland expressed periodically if needed? <span class=\"qnum\">052<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"analgland\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"analgland\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"analgland\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"analgland\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Have you ever housebroken a dog before? <span class=\"qnum\">053<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"housebroken\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"housebroken\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"housebroken\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"housebroken\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Did you use a crate? <span class=\"qnum\">054<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"usecrate\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"usecrate\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"usecrate\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"usecrate\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Will the pug be restricted from\/to certain room(s)? <span class=\"qnum\">055<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"restrictedrooms\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"restrictedrooms\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"restrictedrooms\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"restrictedrooms\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If Yes, explain.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"restrictedroomsexplain\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"restrictedroomsexplain\" aria-invalid=\"false\" name=\"restrictedroomsexplain\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Will the pug be restricted from the furniture? <span class=\"qnum\">056<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"restrictedfurniture\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"restrictedfurniture\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"restrictedfurniture\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"restrictedfurniture\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Where will the pug sleep at night? <span class=\"qnum\">057<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"wherepugsleep\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"wherepugsleep\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"wherepugsleep\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Where do other animals sleep? <span class=\"qnum\">058<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"whereanimalssleep\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"whereanimalssleep\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"whereanimalssleep\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>How many hours a day, on average, will your pug be alone? <span class=\"qnum\">059<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"alonetime\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"alonetime\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"alonetime\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Where will you keep your pug when you are away from home during the day? <span class=\"qnum\">060<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"wherekeeppug\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"wherekeeppug\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"wherekeeppug\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>While you are out, will the pug have access to a doggy door and the outdoors? <span class=\"qnum\">061<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"accessdoggydoor\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"accessdoggydoor\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"accessdoggydoor\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"accessdoggydoor\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Where will your pug stay when you are out of town? <span class=\"qnum\">062<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"outoftown\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"outoftown\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"outoftown\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>If the pug has an accident in the house, explain what you would do? <span class=\"qnum\">063<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"howdealwithaccident\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"howdealwithaccident\" aria-invalid=\"false\" name=\"howdealwithaccident\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you agree to keep a current ID tag on your pug at all times? <span class=\"qnum\">064<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"idtag\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"idtag\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"idtag\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"idtag\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you agree to keep your pug current on all shots and on heartworm preventative? <span class=\"qnum\">065<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"currentshots\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"currentshots\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"currentshots\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"currentshots\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Can you commit to care for the pug for its whole life, even if special needs arise? <span class=\"qnum\">066<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"wholelife\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"wholelife\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"wholelife\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"wholelife\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>What would you do if your pug became a special needs pug? <span class=\"qnum\">067<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dealwithspecialneeds\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"dealwithspecialneeds\" aria-invalid=\"false\" name=\"dealwithspecialneeds\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you have and use air conditioning? <span class=\"qnum\">068<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"airconditioning\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"airconditioning\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"airconditioning\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"airconditioning\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you have a pool or spa? <span class=\"qnum\">069<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"poolspa\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"poolspa\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"poolspa\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"poolspa\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If Yes, is the pool covered or fenced?\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"poolfenced\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"poolfenced\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"poolfenced\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"poolfenced\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"poolfenced\" value=\"N\/A\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">N\/A<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you have a backyard? <span class=\"qnum\">070<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"backyard\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"backyard\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"backyard\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"backyard\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If Yes, is it fenced?\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"backyardfenced\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"backyardfenced\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"backyardfenced\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"backyardfenced\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"backyardfenced\" value=\"N\/A\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">N\/A<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you have a fenced front yard? <span class=\"qnum\">071<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fencedfrontyard\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"fencedfrontyard\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"fencedfrontyard\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"fencedfrontyard\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you have a fenced patio? <span class=\"qnum\">072<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fencedpatio\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"fencedpatio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"fencedpatio\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"fencedpatio\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>How tall are your fences in front yard &amp;\/or backyard? <span class=\"qnum\">073<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fenceheight\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"fenceheight\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fenceheight\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you have a gate to the backyard? <span class=\"qnum\">074<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"gatetobackyard\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"gatetobackyard\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"gatetobackyard\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"gatetobackyard\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"gatetobackyard\" value=\"N\/A\" \/><span class=\"wpcf7-list-item-label\">N\/A<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>If utility meters are located in backyard area, will meter readers be entering this area? <span class=\"qnum\">075<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"meterreaders\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"meterreaders\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"meterreaders\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"meterreaders\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"meterreaders\" value=\"N\/A\" \/><span class=\"wpcf7-list-item-label\">N\/A<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Will gardeners or pool maintenance people be entering the back area? <span class=\"qnum\">076<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"gardeners\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"gardeners\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"gardeners\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"gardeners\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Are you willing to put a padlock on the back area gate? <span class=\"qnum\">077<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"padlock\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"padlock\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"padlock\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"padlock\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you have a balcony or deck? <span class=\"qnum\">078<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"balcony\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"balcony\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"balcony\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"balcony\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If Yes, what is the space between rails (inches)?\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"balconyspace\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"balconyspace\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"balconyspace\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you have stairs? <span class=\"qnum\">079<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"stairs\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"stairs\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"stairs\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"stairs\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If Yes, do you have stairs inside, outside or both?\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"wherestairs\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"wherestairs\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"wherestairs\" value=\"Inside\" \/><span class=\"wpcf7-list-item-label\">Inside<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"wherestairs\" value=\"Outside\" \/><span class=\"wpcf7-list-item-label\">Outside<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"wherestairs\" value=\"Both Inside and Outside\" \/><span class=\"wpcf7-list-item-label\">Both Inside and Outside<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"wherestairs\" value=\"N\/A\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">N\/A<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If you have stairs, are any stairs open backed?\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"openbackedstairs\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"openbackedstairs\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"openbackedstairs\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"openbackedstairs\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"openbackedstairs\" value=\"N\/A\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">N\/A<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Will you reinforce or enclose areas if we request? <span class=\"qnum\">080<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"encloseareas\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"encloseareas\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"encloseareas\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"encloseareas\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Are all windows screened? <span class=\"qnum\">081<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"windowsscreened\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"windowsscreened\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"windowsscreened\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"windowsscreened\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you have a doggy door? <span class=\"qnum\">082<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"doggydoor\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"doggydoor\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"doggydoor\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"doggydoor\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If No, are you planning to get a doggy door?\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"getdoggydoor\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"getdoggydoor\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"getdoggydoor\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"getdoggydoor\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"getdoggydoor\" value=\"I already have a doggy door.\" \/><span class=\"wpcf7-list-item-label\">I already have a doggy door.<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Pesticides, slug\/snail pellets and other chemicals such as antifreeze are toxic. Do you agree not to use any of these in areas your pug will have access to? <span class=\"qnum\">083<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"toxicchemicals\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"toxicchemicals\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"toxicchemicals\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"toxicchemicals\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Does your homeowners association, apartment, or mobil home, condominium, etc. allow pets? <span class=\"qnum\">084<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"hoaallowpets\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"hoaallowpets\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"hoaallowpets\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"hoaallowpets\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"hoaallowpets\" value=\"N\/A\" \/><span class=\"wpcf7-list-item-label\">N\/A<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If Yes, explain restrictions.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"hoarestrictions\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"hoarestrictions\" aria-invalid=\"false\" name=\"hoarestrictions\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>If you rent, do you have permission to own a dog? <span class=\"qnum\">085<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"permission\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"permission\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"permission\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"permission\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"permission\" value=\"N\/A\" \/><span class=\"wpcf7-list-item-label\">N\/A<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>Your Landlord's Information:\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>Name: <span class=\"wpcf7-form-control-wrap\" data-name=\"landlordname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"landlordname\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"landlordname\" \/><\/span><br \/>\nPhone: <span class=\"wpcf7-form-control-wrap\" data-name=\"landlordphone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" id=\"landlordphone\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"landlordphone\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>If your pug had an emergency or serious illness, how much would you be willing to spend on vet bills? <span class=\"qnum\">086<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"vetbill\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"vetbill\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"vetbill\" value=\"$100\" \/><span class=\"wpcf7-list-item-label\">$100<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"vetbill\" value=\"$250\" \/><span class=\"wpcf7-list-item-label\">$250<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"vetbill\" value=\"$500\" \/><span class=\"wpcf7-list-item-label\">$500<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"vetbill\" value=\"$1000\" \/><span class=\"wpcf7-list-item-label\">$1000<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"vetbill\" value=\"Whatever it takes\" \/><span class=\"wpcf7-list-item-label\">Whatever it takes<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Under what circumstances would you justify getting rid of a pug? <span class=\"qnum\">087<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"getridof\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"getridof\" aria-invalid=\"false\" name=\"getridof\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Are you willing to help PRNC at their functions? <span class=\"qnum\">088<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"helpprnc\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"helpprnc\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"helpprnc\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"helpprnc\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Would you object to a representative of PRNC calling to check on how you &amp; pug are doing? <span class=\"qnum\">089<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"prnccalling\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"prnccalling\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"prnccalling\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"prnccalling\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Would you object to a home visit by a representative of PRNC? <span class=\"qnum\">090<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"prnchomevisit\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"prnchomevisit\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"prnchomevisit\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"prnchomevisit\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>If Yes, why?\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"prnchomevisitwhy\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"prnchomevisitwhy\" aria-invalid=\"false\" name=\"prnchomevisitwhy\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Are you willing to return the pug to PRNC should unforeseen circumstances arise? <span class=\"qnum\">091<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"willingtoreturn\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"willingtoreturn\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"willingtoreturn\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"willingtoreturn\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Do you authorize your veterinarian to give PRNC a reference? <span class=\"qnum\">092<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"veterinarian\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"veterinarian\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"veterinarian\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"veterinarian\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q is_ifq\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>If Yes.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td class=\"ifq\">\n\t\t\t\t\t<p>Current Vet: <span class=\"wpcf7-form-control-wrap\" data-name=\"veterinarianname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"veterinarianname\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"veterinarianname\" \/><\/span><br \/>\nPhone: <span class=\"wpcf7-form-control-wrap\" data-name=\"veterinarianphone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" id=\"veterinarianphone\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"veterinarianphone\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>How did you find out about PRNC? <span class=\"qnum\">093<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a qodd\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"howfindprnc\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"howfindprnc\" aria-invalid=\"false\" name=\"howfindprnc\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-q\">\n\t\t\t\t<td>\n\t\t\t\t\t<p>Is there anything else you think we should know about you, your pets or your family? <span class=\"qnum\">094<\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"apptable-a\">\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"aboutyou\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"aboutyou\" aria-invalid=\"false\" name=\"aboutyou\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t<\/table>\n\t\t<div id=\"application-terms\">\n\t\t\t<h3>Terms of Agreement\n\t\t\t<\/h3>\n\t\t\t<p>Thank you for taking the time and care to complete this application. Please try to answer each question as completely as possible. Incomplete applications may not be considered. By clicking <span style=\"text-decoration:underline\">&#8220;SUBMIT THE APPLICATION&#8221;<\/span> button below, you are attesting to the truthfulness of your answers.\n\t\t\t<\/p>\n\t\t\t<p><span class=\"bold\">PUG RESCUE OF NORTHERN CALIFORNIA RESERVES THE RIGHT TO REFUSE ANY APPLICATION.<\/span>\n\t\t\t<\/p>\n\t\t\t<p>Furthermore, by submitting this application you are attesting to have read and are able and willing to follow our Foster Guidelines as listed below:\n\t\t\t<\/p>\n\t\t\t<ul class=\"numlist\">\n\t\t\t\t<li>\n\t\t\t\t\t<p>Foster parents agree to give loving care to the rescued pug(s) and provide a safe, indoor environment. Pugs shall be kept in the house at all times with the exception of being taken outside to go to the bathroom. At no time shall the dog(s) be tied to any object outside, nor shall they be kept in any outdoor kennel.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>Foster parents agree to only take foster pugs to authorized veterinarians, except in cases of extreme emergency. Pug Rescue of Northern California will pay for all medical care by such veterinarians.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>The foster parent understands that it may be necessary to drive the dog to the veterinarian, to meet with prospective adoptive families and other places, and is willing to do so.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>Foster parent agrees to feed the pug(s) premium dog food, and agrees to feed, water and exercise the dog appropriately. This includes no unsupervised, off-lead time.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>Foster parent understands that often a pug comes into rescue needing medication. Pug Rescue of Northern California will pay for all medications necessary for the dog(s). The foster parent agrees to administer the medication(s) to the dog in accordance with the veterinarian instructions.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>A rescue pug often comes in on short notice with no indication of health or temperament. Foster homes have to be willing to help assess this and be willing to update the Pug Rescue of Northern California Coordinator on a weekly basis. Pug Rescue of Northern California cannot guarantee foster pugs will be potty trained on arrival.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/div>\n\t\t<p><span class=\"bold\">I HAVE READ AND AGREE TO ALL OF THE TERMS ABOVE.<\/span><br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" id=\"submit\" type=\"submit\" value=\"SUBMIT THE APPLICATION\" \/>\n\t\t<\/p>\n\t<\/section>\n<\/div><!-- #applicationform --><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Foster Application<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"fosterapp.php","meta":{"footnotes":""},"class_list":["post-16","page","type-page","status-publish","hentry","entry"],"_links":{"self":[{"href":"https:\/\/pugpros.org\/form\/wp-json\/wp\/v2\/pages\/16","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pugpros.org\/form\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pugpros.org\/form\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pugpros.org\/form\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pugpros.org\/form\/wp-json\/wp\/v2\/comments?post=16"}],"version-history":[{"count":1,"href":"https:\/\/pugpros.org\/form\/wp-json\/wp\/v2\/pages\/16\/revisions"}],"predecessor-version":[{"id":17,"href":"https:\/\/pugpros.org\/form\/wp-json\/wp\/v2\/pages\/16\/revisions\/17"}],"wp:attachment":[{"href":"https:\/\/pugpros.org\/form\/wp-json\/wp\/v2\/media?parent=16"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}