Foster Home Questionnaire Date 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 Form Yes-- Continue Form Are there restrictions to what type of dog you can take (size, needs medication, etc.)? If yes, explainDog #1: How old is the dog? Puppy Young Adult Adult Senior What sex is the dog? Altered Male Altered Female How 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? Never Very rarely Rarely Sometimes Often All the time What 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 #2 No-- Complete form Dog #2: How old is the dog? Puppy Young Adult Adult Senior What sex is the dog? Altered Male Altered Female How 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? Never Very rarely Rarely Sometimes Often All the time What 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?
Help Penelope Today!Donate to support her extensive medical care.Sweet Penelope has been suffering from a series of upper respiratory infections. It was discovered that she has polyps and needs surgery to live a healthy, happy life! Please donate today to support Penelope’s extensive medical treatment.Donate to Penelope’s Angel Fund!