foster dog report ...
basset rescue of old dominion, inc.

Foster Dog Report:*     New Report Updated Report  
(select "Updated" if a report was submitted previously for this dog and provide a brief synopsis of changes below)

Please complete the information immediately below each time you submit your report. 

Dog Name:*    

BROOD ID Tag (on collar):*   

Foster Parents:*   Date:* (mm/dd/yy)

Foster Email:*

If this is a New Report, please answer as many of the questions below as you can.
If this is an Updated Report, please provide ONLY information that is new or updated from the last report.
You do NOT have to answer all the questions for an Updated Report!

Updated Report Only

Please summarize your additions/changes in the text box immediately below
and then complete the questions below for which you have updates.

1. Basic information about the dog:

Age (approx.):   Colors:  Gender:  Female  Male 
   Spayed or Neutered?  Yes No Don't Know  If no, when will the spay/neuter occur? 
Dog's Weight (approx.):    Dog's Overall Health:   Excellent Good Fair Poor

This dog can best be described as (check one):   Hyperactive  Normally Active for his/her Age  A Real Couch Potato

2. Tell us about the dog.  What is special, interesting, unusual, endearing about him/her?  What would you want someone to know if they were considering adopting this dog?

3. Has the dog exhibited aggression (growling, snarling, snapping, etc.)?  Yes No

Would you have concerns leaving this dog with a child under 12?  Yes No

If ANY aggressive behavior is observed, contact your foster coordinator immediately!

If Yes to EITHER question, please explain, giving as much information as possible:

4. Does the dog show excessive shyness with people (i.e. hiding or running away)?  Yes No

If Yes, is the dog shy in the presence of a specific age or gender?  Explain:

5. When you leave the house or room does the dog exhibit any excessive signs of Separation Anxiety?  Yes No
Excessive signs could be continuous barking/whining (more than 15 minutes), soiling, urinating or defecating in the house, or destructive behavior.

If Yes, explain:

6. Does the dog show fear of thunderstorms, cars, vacuums, etc?  Yes No

If Yes, explain:

7. Does the dog ride well in cars? Yes No

8. Does the dog drool excessively?  Yes No

9. Does the dog bark excessively?  Yes No

10. Does the dog shed excessively?  Yes No

11. Does the dog have an excessive odor?  Yes No

12. Is the dog housebroken?   Yes No

If No, please indicate the specific problem:

13. Is the dog crate trained?   Yes No  Not Sure

14. Describe the dog's eating behavior:

(i.e., does he eat well, steal food, is she a picky eater, over or underweight?)

Note: BROOD recommends twice a day feeding for adult dogs.

15. Have you noticed any health problems while the dog is in your care? Yes No

If Yes, please give details:

16. Is the dog okay with handling and grooming?   Yes No

(i.e., can you brush him, clean her ears, trim nails without struggle or fight?)

If No, please give details:

17. How well trained is the dog?

(i.e., does she know her name, does he walk well on lead, know basic commands like sit/down/stay/come?)

BROOD recommends the name not be changed if the dog responds to his old one. These dogs need some continuity!

18. Describe any medicines this dog is taking, and how they are administered.

19. Any other characteristics or comments you'd like to make that will help in placing this dog?

IMPORTANT:  You must click on the "SUBMIT Foster Dog Report" button to complete this form!