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

PART II - HEARTWORM TREATMENT

PART III - FLEA MEDICATION

PART IV - HEALTH AND BEHAVIOR

Yes
No
Partially
Unknown
Yes
No
Yes
No
Correctly
Pulls
Hangs behind
Yes
No
Quiet
Vocal
Friendly
Pushy
Laid back
Shy
Energetic
Aloof
Yes
No
Yes
No
High
Average
Low
Yes
No
Yes
No
Yes
No
Yes
No
With children
Without children
Either
Yes
No
Friendly/Playful
Friendly/Laid Back
Timid/Shy/Fearful
Withdrawn/Depressed
Aloof
Pushy/Dominant
Submissive
Yes
No
Yes
No
Playful
Friendly but quiet
Ignores them
Aggressive
Fearful
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

PART V - WRAPUP

Yes
No

Visual Verification Image

   
* Required Responses