Please complete this form AFTER you’ve had your foster dog for two weeks. Please provide as much information as you can because this is what we use to write their description for the website.
Ensure each field is correctly filled in so proper info is submitted.
Name (First and Last)
Foster E-mail Address:
Spayed or Neutered: NoYes
If no, when will the spay/neuter occur?
Dog weight (approx.)
Dog's Overall Health ExcellentGoodFairPoor
Tell us about the dog.
What is special, interesting, unusual, endearing, their characteristics, about him/her? What would you want someone to know if they were considering adopting this dog?
Has the dog exhibited aggression (growling, snarling, snapping, etc.) towards: (check all that apply) Men Women Children Toddlers Teenagers Male Dogs Female Dogs Cats or Other Pets
If yes to any of these, would you describe the aggression as: Food Related Territorial Fear-Related
Please Explain, giving as much information as possible:
Does the dog show excessive shyness with people (i.e. hiding or running away)? NoYes
If yes, is the shyness specific to a particular gender or age group? Explain:
When you leave the house or room does the dog exhibit any excessive signs of Separation Anxiety?
Excessive signs could be continuous barking/whining (more than 15 minutes), soiling, urinating or defecating in the house, or destructive behavior.) NoYes
If yes, explain the anxiety:
Does the dog show fear of thunderstorms, cars, vacuums, etc? NoYes
If yes, explain the fear.
Does the dog ride well in car? NoYes
How much does the dog bark? A lotModerateSomeLittle
How much does the dog drool? A lotModerateSomeLittle
How much does the dog shed? A lotModerateSomeLittle
Is the dog housebroken? NoYes
If not housebroken, please indicate the specific problem:
How does the dog get along with other dogs? If you do not have other dogs, do you think the dog would be okay living in a home with other dogs?
How does the dog get along with cats? If you do not have cats, do you think the dog would be okay living in a home with cats?
How does the dog get along with children? If you do not have children, do you think the dog would be okay living in a home with children?
Does the dog enjoy walking? NoYes
Does he/she pull on the leash? NoYes
How does the dog react to handling & grooming?
Can you brush him/her? NoYes
Can you clean out their ears without a struggle? NoYes
Can you clip the dogs nails without a struggle or fighting? NoYes
Does the dog appear to know basic commands? Sit Heel Down Stay Other
Will the dog come when called? NoYes
Does he appear to know his name? NoYes
Does the dog eat well? NoYes
Does the dog gulp or bolt his food to quickly? NoYes
Does the dog steal food? NoYes
Are there particular foods which seem to cause the dog problems? NoYes
Please indicate what you've been feeding the dog.
How often and in what amounts:
Have you noticed any health problems while the dog is in your care? NoYes
If yes, please give details of the health problem
Was the dog either over or under weight when he entered your care? NoYes
If yes, give details of weight issue.
Has the dog received a Rabies shot? NoYes
Date of last Rabies shot:
Distemper shot: NoYes
Date of last Distemper shot:
Fecal Test: NoYes
Date of last Fecal Test:
Heartworm Test: NoYes
Date of last Heartworm Test:
Heatworm Preventative: NoYesDont Know
Date started Heartworm Preventative:
Bortadella Vaccine NoYes
Date of last Bordetella shot:
Is this dog on any special medication? NoYes
If Yes, what medication is it and how often is it administered?
Any other characteristics or comments or stories you'd like to share that will help in placing this dog?
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