• STAR Home Visit Form

  • Potential Adopter Information:

  •  -

  • Neighborhood:

  • Describe the street:*
  • Describe the setting:*
  • Are there any potential hazards in the community?

  • Fence/Yard:

  • Is the yard fenced?*
  • If yes, is there anything near the fence that the animal could climb on to get over the fence?
  • If yes, are there potential escape routes ? (i.e. low places near or under fence, holes etc.)
  • If yes, does the fence appear to need repair?
  • If no fence, is applicant planning on installing fencing?
  • If considering invisible fencing, is the applicant aware that this does not work with all dogs?
  • Are there places in the yard the pet could jump off of and get injured? (i.e. decks, etc.)
  • Are there plants or chemicals visible in the yard that could be poisonous?
  • If yes, did you discuss with applicant?
  • If yes, are they willing to address?

  • Home and Living Arrangements:

  • Type of Home*
  • What is the overall condition of the home interior?*
  • What is the overall condition of the basement?*
  • What is the overall condition of the garage?*
  • Do the furnishings of the house appear to be pet-proof? (no glass objects, dried flowers, potted plants at pet level, etc.)
  • Did you point out any hazards or items of concern being accessible to pet?
  • If yes, did they seem aware? or willing to address the issues?

  • Pet Life

  • Where will the pet sleep?*
  • Where will the pet stay during the day?*
  • Where will the pet stay when the family is not at home?*

  • Current Pets

    (if applicable)
  • Are there current pets in the home?*
  • If yes, what are the other pets?
  • If there are other pets, do they seem clean and well-cared for?
  • If there are current dogs, do they seem well socicalized?
  • If yes, do they approach you in a friendly manner?
  • If the animal misbehaved, did applicant address it or ignore it?
  • What kind of discipline, if any, did you observe?
  • If you brought a "homevisit dog" with you, did their pets seem accepting of a new animal in the house?

  • Family:

  • Were all family members present?*
  • Are there children in the home?*
  • If applicable, how did the children behave with pets?
  • Do all family members seem accepting of a new pet?

  • Training/Behavior:

  • How do they plan to exercise the pet? check all that apply*
  • Will the animal ever be left outside unsupervised?*
  • What type of behavior modification will they use?*
  • Do they understand that it may take some time for the pet to adjust to the new environment?*

  • Conclusions:

  • Do you feel the applicant will love and care for a pet properly?*
  • Do you feel the environment is safe for a rescued animal?*
  • If this were your animal, would you adopt him/her to this family?*
  • Does this adoption feel right to you?*
  • Should be Empty: