Foster Home Questionnaire Date Date Format: MM slash DD slash YYYY Name First Last Are there children who live in or will be visiting the home?*If yes, how old are they?Are there other dogs in the home?No--Finish FormYes-- Continue FormAre there restrictions to what type of dog you can take (size, needs medication, etc.)? If yes, explainDog #1: How old is the dog?PuppyYoung AdultAdultSeniorWhat sex is the dog?Altered MaleAltered FemaleHow would you describe the dog's general nature in the home? Check all that apply Couch Potato Enjoys play with humans, high energy Enjoys play with humans, low energy Enjoys play with dogs, high energy Enjoys play with dogs, low energy Enjoys going for walks in the neighborhood How often does your dog meet other new dogs?NeverVery rarelyRarelySometimesOftenAll the timeWhat games does your dog like to play with other dogs? (select all that apply) Running/chasing Tug-o-war Wrestling Sniffing/exploring Fetch My dog doesn't want to play with other dogs Do you have additional dogs in the home?Yes--Fill out dog #2No-- Complete formDog #2: How old is the dog?PuppyYoung AdultAdultSeniorWhat sex is the dog?Altered MaleAltered FemaleHow would you describe the dog's general nature in the home? Check all that apply Couch Potato Enjoys play with humans, high energy Enjoys play with humans, low energy Enjoys play with dogs, high energy Enjoys play with dogs, low energy Enjoys going for walks in the neighborhood How often does your dog meet other new dogs?NeverVery rarelyRarelySometimesOftenAll the timeWhat games does your dog like to play with other dogs? (select all that apply) Running/chasing Tug-o-war Wrestling Sniffing/exploring Fetch My dog doesn't want to play with other dogs Do you have more than 2 dogs in the home?