Foster Care Programs
Foster Home Report
Tri-State Basset Hound Rescue, Inc.
Tri-State Basset Hound Rescue, Inc.
Foster Home Report
Instructions: Please complete this form within 2 weeks of getting the dog and provide as much information as possible. Please submit updated reports when there have been any significant changes.
Type of Foster Dog Report: r Initial Report rUpdated Report Date: ________
SECTION I (Please complete this section every time you submit a report)
Dog's Name ____________________________________________________
Dog's Tri-State ID Tag # ___________________________________________
Foster Home:
Name _________________________________________________________
Complete Address _______________________________________________
Phone #'s (H) ____________ (W) _______________ (Cell) _______________
Email address(es) ________________________________________________
SECTION II (For Initial Report, please answer as completely as possible. For Updated Report, only provide information that is new or updated from last report.)
- Tell us
about the dog. What is special, interesting, unusual,
endearing about him or her? What would you want someone to
know if they were considering adopting this dog?
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- Has the dog
exhibited aggression (growling, snarling, snapping, etc.)
towards:
Men? rYes rNo rN/A Teenagers? rYes rNo rN/A
Women? rYes rNo rN/A Male Dogs? rYes rNo rN/A
Children? rYes rNo rN/A Female Dogs? rYes rNo rN/A
Toddlers? rYes rNo rN/A Cats/Other Pets? rYes rNo rN/A
If "Yes" to any of these, would you describe the aggression as food-related, territorial or fear-related? Please explain, giving as much information as possible:
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- Does the dog
show any shyness with people (i.e. hiding or running away)?
rYes r No
If "Yes", is the shyness specific to a particular gender or age group? rYes r No
Please explain:
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- When you
leave the house or room does the dog exhibit any signs of
Separation Anxiety (i.e. excessive barking, whining,
urinating/defecating in the house, destructive behavior)?
rYes r No
If "Yes", please explain:
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- Does the dog
show fear of thunderstorms, cars, vacuums, loud or unusual
noises, etc.? rYes r No
If "Yes", please explain:
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- Does the dog
ride well in cars? r Yes
r No
- How much
does the dog drool? rA lot rModerate rSome
rVery little
- How much
does the dog bark?
rA lot rModerate rSome
rVery little
- How much
does the dog shed? rA lot rModerate rSome
rVery little
- Is the dog
housetrained?
r Yes
r No
If "No", please indicate the specific problem:
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- Are you
using a crate? rYes r No (How long is dog generally
crated? _____)
If "Yes", please describe the dog's reaction to crating:
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- Does the dog
eat well?
rYes
r No
- Are there
particular foods which seem to cause the dog problems?
rYes r No
If "Yes", please explain:
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- Does the dog
gulp or bolt his food too
quickly? rYes
r No
- Does the dog
steal food?
rYes r No
- Please
indicate what you've been feeding, how often, and in what
amounts:
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- Have you
noticed any health problems while the dog is in your care?
rYes
r No
If "Yes", please explain:
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- Does the dog
enjoy walking?
rYes r No
- Does he/she
pull on the leash?
rYes r No
- How does the
dog react to handling and grooming:
a) Can you brush him/her? rYes r No rHave not tried
b) Can you clean the ears without a struggle? rYes r No rHave not tried
c) Can you clip the dog's nails without a struggle? rYes r No rHave not tried
- Does the dog
appear to know basic commands?
a) Sit? rYes r No
b) Heel? rYes r No
c) Down or Stay? rYes r No
d) Other (please specify) _______________________________________
- Does the dog
appear to know his/her name?
rYes
r No
- Does he/she
come when called?
rYes
r No
- Are there
any characteristics or comments you would like to make that
will help in placing this dog?
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Courtesy of
Tri-State Basset Hound Rescue, Inc.
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