BROOD Foster Dog Report

BROOD Foster Families, please complete this form within two weeks of getting the dog, and provide as much information as you can.

PART I - FOSTER INFORMATION
Dogs Name *
Dogs Approximate Weight (pounds)
Foster Parents Name *
E-mail Address: *
Foster Home Phone *
Foster Cell Phone
Part II - HEARTWORM TREATMENT
Date of Last Heartworm Treatment *
Brand of Heartworm Treatment
Other Heartworm (please specify)
PART III - FLEA MEDICATION
Date of Last Flea Medication *
Brand of Flea Medication
Other Flea Medication (please specify)
PART IV - HEALTH AND BEHAVIOR
Is your foster dog housetrained? Yes reliably Mostly No
Is your foster dog crate trained? Yes No
Is your foster dog door trained? Yes No
How does your foster dog walk on a leash? Correctly Pulls Hangs behind
Does your foster dog ride well in the car? Yes No
Would you describe your foster dog as Quiet Vocal
When is your foster dog most likely to bark?
What is your foster dog's attitude toward people? (check all that apply) Friendly Pushy Laid back Shy Energetic Aloof
Is your foster dog allowed on the furniture? Yes No
Is your foster dog allowed on the bed? Yes No
What are your foster dog's exercise needs? High Average Low
How long is your foster dog alone every day?
Does your foster dog suffer separation anxiety? Yes No
Does your foster dog suffer thunder phobia? Yes No
Does your foster dog have any issues with grooming (nails clipping, ear cleaning, etc.)? Yes No
If YES, please explain.
Does your foster dog live with children? Yes No
My foster dog would do best in a home With children Without children Either
Does your foster dog live with other dogs? Yes No
What is your foster dog's attitude toward other dogs? Playful Friendly but quiet Ignores them Aggressive Fearful
Would your foster dog be okay as an only dog? Yes No
Does your foster dog live with cats? Yes No
What is your foster dog's attitude toward cats? Playful Friendly but quiet Ignores them Aggressive Fearful
Has your foster dog EVER shown any form of aggression (snarling, snapping or biting)? Yes No
If YES, please describe the circumstances
Would your foster dog be okay living in an apartment in a city and going on walks with city noise? Yes No
Would your foster dog be okay living in a home with no fenced yard? Yes No
Has your foster dog had any health problems in the past month (including ear infection, diarrhea/vomiting, skin problems, limping, lumps, etc.)? * Yes No
If veterinary care was required, please give details
Has your foster dog had any improvements in the past month? * Yes No
If YES, describe improvements
PART V - WRAPUP
What are the good and/or bad characteristics about your foster dog? *
Would you say your foster dog is ready to be adopted at the present time? * Yes No
If not ready for adoption, please explain why.
Verification Code:
Enter Verification Code: *


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