Rehome/Surrender Questionnaire Form

Old English Sheepdog Rescue of Washington State
Rehoming Questionnaire
I am a*

OESROWS Approved Foster HomeShelter Employee Seeking Rescue AssistanceMember of the public needing to surrender my own petMember of the public who found a strayOther
If stray, what date did you find it and where did you find it (intersection/town/state)?
If this is your own dog where did you acquire it? Breeder, Shelter, Friend? Please give as much detail as you can. If from a Breeder supply their name and contact information.
Today's Date*

MonthDayYear
Your Full Name*
Your Email*
Your Phone*
Your City/State*
Dog's Name (if stray, type stray)*
Color(s)*
Health?*

SickInjuredObviously PregnantPossibly PregnantHealthy/appears healthyOther
Approximate age*

Under 8 weeks8 weeks to 4 months (has puppy teeth)4 months to 1 year (young but no puppy teeth)1-3 years (may have slight tarter especially on back teeth)3-6 years (has tartar on teeth)6-9 years (teeth look somewhat worn)9+ years (teeth worn, may have lots of tartar)
Approximate Weight*

20 lb or less21 to 40 lbs41 to 60 lbs61 to 80 lbs81 to 100 lbs100 lbs or moreOther
Socialization*

Sweet and socialA little shy but warms up when you're niceVery shyPossibly abusedDefinitely abusedReactiveFear biterAggressiveThere is a police report. If this box is check please add the police report information in the comment box below.Other
How does this dog behave around men?*

Loves menA little bit shy/scared of menVery afraid of menPossibly abused by a man in the pastFear biter around menOther
How does this dog behave around women?*

Loves womenA little bit shy/scared of womenVery afraid of womenPossibly abused by a woman in the pastFear biter around womenOther
How does this dog behave around children under 10 years old?*

Loves kidsToo energetic or rough for young childrenVery gentle with childrenSeems afraid of childrenFear biter around childrenMay growl or snap at childrenGrowls when child approaches food or toyOther
How does this dog behave around strange dogs?*

Runs up to them to playGreets appropriately (nose to tail sniffing)Stares the other dog down and may stiffen musclesSeems submissive or scared of other dogsWill show the other dog their side or back endTurns head away when the other dog stares at itNo sense of personal space, just gallops up to the other dog and expects the other dog to be fine with thatOther
How does this dog behave around other dogs and high value food, treats or toys? Check all that apply:*

Lets the other dog take it.Posture is relaxed, no muscles tensed.Stares the other dog down.Muscles tense when other dog approaches.Head goes down over the food/toy as other dog approaches.Gobbles the food faster.Growls at the other dog.Bares teeth at the other dog.Snaps/snarls at the other dog, clearly guarding the food/toy.As other dog approaches, this dog backs away from the food bowl.Has not been tested around other dogsOther
How does this dog behave around cats?*

Sniffs cat in crate but seems disinterestedSniffs free-roaming cat but seems disinterestedSeems a little scared of catsSeems interested in playing appropriately with catsThinks cats are chew toysAppears to have a prey drive wants to chase and harm cats. Very much NOT cat safe.Thinks cats are really fun to chase but if caught does not do any harm. Seems to be more about the chase than the cat.Not tested around cats, no cats here to test withThat cats feel safe enough to use this dog as a couchOther
Leash/Collar training?*

Freaks when you put a slip lead onAlready wearing a collar and used to itFreaks when you put a collar onUsed to collar but not leashPulls strong on leashPulls a little on leashSeems very well leash trained, walks nicely on leashOther
Housebreaking training?

Not housebroken at allCrate trainedMarks indoorsPartially housebroken, but doesn't know how to tell you when needs to go outsideSolidly housebroken, will bark or pace or scratch door to go outsideCan hold it overnight even if not cratedLearning crate trainingUnknownNew arrival. Just started training.Other
Fences?*

Needs a fence at least 4 feet highNeeds a fence 6 feet highCan climb fencesCurrently trained to invisible fencingOther
Car rides?*

Loves the car, rides great. Sits in back seatJumps right inNeeds help to get into car but likes to rideSeems unsure of getting into carFearful of the carDrools but does not vomit during ridesGets carsickSleeps during car ridesMust ride cratedVery hyper in carVery nervous, pants and whinesOther
Nail trimming?

Does great!Not bad, a little nervousPretty nervous, we have to do a few nails at a time and take breaksSeems not used to nail trims. Gets very stressed and needs training in this areaWe haven't tried to trim nails yetOther
Any additional comments regarding temperament that haven't been covered by the questions above?*
Any past or current health issues? Please describe and include treatment given if any.*
Please take 3 good quality, well lit photographs of the animal and email them to us at
oesrows@gmail.com with your name and the animal's name in the subject of the email.
Should be Empty:

Old English Sheepdog Rescue of Washington State

Rehoming Questionnaire