Foster Home Report

Name*

First NameLast Name

Email*

example@example.com

Dog's Name

Dog's Age*

Gender*

Spayed of Neutered? If not, is appointment for spay/neuter scheduled?*

Dog's weight*

Overall health (please describe any health issues or current treatments)*

Tell us about the dog - personality, temperament, quirks, habits, etc.*

Has the dog exhibited aggression toward other animals (growling, snarling, snapping, etc.) Please describe*

Describe cause of the aggression (territorial, food related, fear based, etc.)*

Has the dog exhibited aggression toward people? Please describe behavior and cause*

Does the dog show excessive shyness toward people (i.e. hiding or running away)?*

If yes, is shyness specific to a particular gender or age group?*

When you leave the house, does the dog exhibit excessive signs of separation anxiety?*

If yes, explain the behavior/anxiety*

Does the dog have any particular fears - noises, sudden movements, thunderstorms, vacuums, etc? Please describe*

Does the dog ride well in the car?*

How much does the dog bark?*

How much does the dog drool?*

How much does the dog shed?*

Is the dog housebroken? If not, indicate specific problem*

Does the dog get along with other dogs?*

Does the dog get along with cats?*

Does the dog get along with children?*

Does the dog enjoy walking?*

Does he/she pull on a leash?*

Are you able to brush the dog without a struggle?*

Are you able to clean the dog's ears without a struggle?*

How does the dog react to clipping its nails? Any struggling or aggression?*

Does the dog appear to know basic commands?*

Will the dog come when called?*

Does he appear to know his name?*

Does the dog eat well?*

Does the dog gulp food too quickly?*

Does the dog steal food?*

Are there particular foods that seem to cause the dog problems?*

Please indicate what you've been feeding (dry, wet, Brand). Also, how often and in what amounts?*

Have you noticed any health problems while the dog is in your care?*

If yes, please give details of the problem(s)*

Was the dog either overweight or underweight when entering your care?*

If yes, give details of the weight issue*

Is the dog current on Rabies vaccine?*

Is dog current on Distemper vaccine?*

Is dog current on Heartworm test?*

Is dog on monthly heartworm preventative? If so, which one?*

Date next HW preventative dose is due:*

Is dog on any other medications? If so, which ones and how often?*

Any other characteristics or comments you'd like to make that will help us in placing this dog?*

By submitting this application, I/we agree that all the information provided is true and accurate to the best of my/our knowledge.

Please verify that you are human*