Pre-Adoption Questionnaire

Foster Family Pre-Adoption Questionnaire

After reading the instructions, click the Next button at the bottom of the page to begin filling out the form. Although some of the questions can be answered with simple yes/no answers please be as detailed as possible so that we can refer appropriate applicants to you. If you don’t know an answer, please indicate N/A. When you press “Submit” it will be distributed to our Adoption Team.

If you want to save your work and finish the application later, first make sure cookies are enabled in your web browser. For instructions to verify that cookies are enabled, search the web for "enable cookies” for your browser. You may close your browser and your entries are automatically saved for 24 hours. To continue filling out the form, reopen your browser on the same computer and click on the web link to the form. If you are using the Apple Safari browser and close the window, you may get the warning message “Are you sure you want to close this window?” You can ignore this warning and your data will not be lost.

Basic Information
Reply-To:
example@example.com
Foster name:

First Name Last Name
Foster Email:
example@example.com
Dog's name:
Dogs age:
GBR number:
Is dog a mix or a breed other than a Golden? If so, what?
Questions Related To Children
Do you believe your foster dog would be fine with children?

Yes No
If so, what is lowest age range:

0-2 yrs 3-5 yrs 6-12 yrs 13-18 yrs
Have you exposed your foster dog to children? If so, what were their ages? Please comment on the dog’s behavior around them.

Questions Related to Other Animals
Are there other dogs in the foster home?

Yes No
How does your foster dog interact with another dog? Please be specific.
What’s he like when encountering a strange dog while out for a walk? Please be specific.
Have there been any incidences of either toy or food possessiveness? If so, please tell us specifically what behavior you have observed and what measures you may have taken to eliminate/lessen the problem.
Has your foster dog ever growled, snarled, curled its lips, bit or nipped another dog? If so, what specifically happened?
Does your foster dog like to play with other dogs or is it more aloof toward other dogs?
What is his/her play style (chase, be chased, wrestling, play-biting, other)?
Would your foster dog be classified as a Velcro dog with people?
Would your foster dog do well in a dog park or another place where there are lots of other dogs around? If not, why not?
Has your foster dog been exposed to cats? If so, what was the dog’s reaction?

Questions Related to Medical Issues
Any medications your foster dog is currently taking, including over the counter (i.e. fish oil):
Any medical issues or concerns that a new family needs to know?
Any allergies? If so, what’s being done to help control them?
Does your foster dog have any mobility issues, i.e. slow getting up, can’t jump in car, can’t go up stairs?
Is your foster dog overweight? Underweight?
Does your foster dog have any special medical needs?

Questions Related to Behavior In the Home
Has your foster dog ever growled, snarled, curled its lips, bit or nipped you? If so, please tell us the situation he was in and exactly what happened.
Does your foster dog show any signs of anxiety or distress when left alone (such as barking, whining, excessive drooling, chewing inappropriate things, etc? Please be specific if any of these issues apply.
What is the maximum amount of time the dog is left alone?
Is the dog crate trained?

Yes No
Does your foster dog chew inappropriate things? If so, what?
Does he have a favorite toy?
How does your dog react to being handled/petted? Having his feet/head/ears/mouth/body touched? Has he/she shown any reluctance to affection, and if so what was the situation? Please be specific.
What is your foster dog’s activity level?

High Medium Sedate
Is he a counter-surfer? If so, is it just food or other objects?
Is he housetrained or does he occasionally have accidents in the house?
Is he allowed on the furniture in your house?

Yes No
Any adverse reactions to loud noises such as thunder, fireworks, vacuum cleaners, gunshots, etc?
Does your foster dog bark excessively? If so, what are the circumstances when he does this?
Does your foster dog do well riding in a car? When in the car, is he restrained (crate, doggy seat belt, etc)?

Questions Related to Training
Has your foster dog had any training or have you worked with him on specific commands? Please be specific about what areas of training you have worked on.
How does the dog behave on leash?
What type of collar/harness do you use (i.e., regular collar, harness, front-clip harness, etc.)
Does he know basic commands (sit, stay, come on command, down)?
What further training would you suggest to his future family?

Questions Related to Future Forever Home
What is the LOWEST experience level you believe would be appropriate for your foster dog?

Golden experience Experienced Somewhat experienced Novice owner
Some of our applicants work full time (8 hours), do you believe your foster dog would do well in a home where the applicant has a full time job? What type of schedule would you think would work best for your dog?
Describe your vision of the “perfect” home for your particular foster dog. What would the ideal family be like?
Do you have any special “wants” you want the Adoption Team to consider when reviewing applicants, i.e. jogging, swimming, another dog, children, etc?
Does your foster dog have any quirks or habits that you find endearing or funny?
The Adoption Team, when selecting the best applicant for your dog, will always keep in mind the dog’s best interest, GBR’s adoption requirements as set by the GBR Board, and your valuable input. Please remember that it is rare to have an applicant that can fulfill all your “wants.”

Thank you for your help and soon we’ll be sending an adoption application(s) for you to consider.

Foster Family Pre-Adoption Questionnaire