house visit report ...
basset rescue of old dominion, inc.

 Please complete this form within two days of performing the house visit.
Provide as much information as you can.  Required fields are indicated in bold with *

Applicant Information

First Name(s):*

 

Last Name:*

Address:*
City:*   

State:*

Zip:*

Home Phone:*

 

Work Phone:

Email:*

1. Do they have an adequately fenced-in yard?  Yes No

If not, how do they plan to exercise the dog?

2. Do they have any children?  Yes No

If yes, how many?    What age(s)?

Do the parents seem to have their children under control?

3. Is everyone in the family committed to adopting a basset?   Yes No

If not, explain: 

4. What approximate age are the people?  

Do they seem stable and mature?  Yes No

5. Have they owned a dog before?  Yes No

If yes, what happened to it?

6. Can they afford the upkeep of a dog, such as good quality dog food, dog biscuits, chew toys, beds, leashes, collars, grooming supplies, etc.?  Yes No

7. Are they prepared for veterinary costs and do they understand that routine veterinary care can cost several hundred dollars a year?  Yes No(Explain to them the necessity to heartworm test a dog and keep it on heartworm preventative.)

8. Are they willing to provide proper grooming (i.e., nail clipping, ear cleaning, etc.)?  Yes No

9. Do they have time to train their dog, if necessary?   Yes No

10. Where will the dog spend its time?

11. Do the people work?  Yes No

If yes, what steps will they take to ensure the dog will not become a nuisance while left alone?

12. Are they aware that there will be a period of adjustment for the new dog, which may result in problem behavior (e.g., house breaking, chewing, barking, etc.)?  Yes No

13. Do they understand the basic nature of a basset hound?  Yes No

14. Go over BROOD policies and explain contract. Individual dog fees vary and are shown on the web site. Explain the one week trial period.   Reviewed policies with applicant?  Yes No

15. Do you like the people?  Yes No

Would you feel comfortable with these people adopting a dog from BROOD?  Explain:

The following questions are intended to help better match the family with available dogs.  Please have the family provide their honest responses to these questions:

16. How important is it that their new basset:  High  Medium  Low
a) is completely and reliably housetrained?
b) gets along well with children?
c) plays well with other dogs?
d) doesn't bother or chase cats?
e) is not a barker?
f) is not shy?
g) is able to stay alone most of the day?
h) looks like a "classic" basset?
17. Please get their responses to the following:
a) They  would  would not   might    consider a basset mix.
b) They  would  would not   might    consider a dog with health problems.
c) They  would  would not   might    consider a dog with behavioral problems.
d) They  would  would not   might   consider a senior dog.

 18. Any other comments or considerations for adoption?

Your Name:* (required)

Your Email:* (required)

IMPORTANT:  You must click on the SUBMIT House Visit Report button to complete this form!

                 

 

BROOD thanks you for helping with the House Visit process.
Your input will allow us to determine the best match of basset for this prospective home.

Fees for individual dogs are listed on BROOD's website www.brood-va.org.

Feel free to send House Visit Report updates at any time. Either use this form again, providing only the changed information, or