Please provide this additional information so we can help your dog succeed in his/her foster home and forever home. Owner's name * First Name Last Name Co-Owner's Name (If Not Applicable, then N/A) First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Owner's Phone number * (###) ### #### Co-owner's phone (###) ### #### Owner's email address * Co-owner's email address Dog's name * Does the dog live primarily indoors or outdoors? * Indoors Outdoors If your dog is reliably housebroken, how does the dog let you know he/she needs to go outside? * Has the dog lived with cats? * Yes No If yes, How does the dog get along with the cat(s)? Has the dog lived with other dogs? * Yes No If yes, how well does the dog get along with other dog(s)? Describe the dog's reaction when meeting new or strange dogs: * What obedience commands does the dog know? * Has the dog had any formal obedience training? If so, to what extent? * Does your dog let you touch him/her anywhere (inside ears, mouth, feet, tail, etc.)? * List the things your dog is frightened of: * Describe the specific ways your dog acts when he/she is afraid: * Describe your dog's reaction when a new person comes to the door: * Using a number from 1 to 5, where 1 means your dog is calm and receptive, and 5 means your dog reacts negatively (acts nervous, retreats, and/or growls), how does your dog act around: Small, loud or active children: * 1 2 3 4 5 Men: * 1 2 3 4 5 Women: * 1 2 3 4 5 Does your dog dig? * Does your dog climb, jump, or dig under a fence to try and escape? * Does your dog like to ride in the car, pay fetch, play tag, or play with toys? * Ride in car Play fetch Play tag Play with toys Briefly describe the dog's eating habits (# of times a day, quantity, dry food, etc.): * List the things you consider to be your dog's good points: * List the things you consider to be your dog's bad points: * What type of family/lifestyle do you think your dog needs to be happy? * What else do we need to know about your dog? * Thank you for filling out our request for additional information. After we receive your form one of our volunteers will contact you.
