Basset Hound Rescue of Georgia, Inc.

Home Inspection Report – Pre-Adoption

SECTION A – General Information

Name of Dog:______BHRG ID #:______

Name:______

Street Address: ______

City/State/Zip:______

Home Phone: ______Work Phone: ______

Cell Phone: ______

Email Address: ______

Directions to home: ______

______

______

______

______

Inspection Completed By: ______

Date of Inspection: ______

Please send this completed Pre-Adoption Home Inspection Form to:

Lisa Weisenberger

675 Oxford Hall Drive

Lawrenceville, GA 30044

Or e-mail to

SECTION B - House & Yard

  1. Check one:_____ House_____ Condo _____ Apartment _____Mobile

2.Check one:_____ Own_____ Rent

If renting:Landlord’s name & phone number: ______

______

3.Does home have central heat/air and adequate ventilation? ______

If no central heat/air, what type of cooling/heating/ventilation systems are in place? ______

4. Is yard fenced? _____

If yes,

  1. What type of fence (chain link, privacy, picket, etc.)? ______
  2. Is it adequately sized for the dog? ______

c. Is fence secure, free from holes, gaps, and weaknesses? ______

If no,

  1. _____ Discuss importance of leash walks & exercise.
  2. _____ Remind to never let dog have free roam outside.

5. Is there a hot tub or pool? ______

If yes, is dog adequately protected from entry into the hot tub or pool? ______

SECTION C – Family & Other Pets

1. Does the family have children? _____

If yes, how many and what are the ages? ______

______

2. Does the family seem happy and committed to the idea of adopting a homeless basset? ______

3. Does the family have other pets?______

If yes, list pets here (type, breed): ______

______

If no, skip to “SECTION D – Plans for Adopted Dog”.

4.Are the pets getting along? ______

5.Are the pets clean?______

6.Are pets current on current on vaccinations, including bordetella? ______

7.Is heartworm preventative and flea/tick preventative on hand? ______

If so, when is the next dose due? ______

8.Family’s vet name & phone number? ______

9.If pet is a dog, what is the dog fed? ______

10.How often is the dog fed? ______

11.Are food/water bowls (inside and outside) clean and of adequate size? ______

12.Is the dog provided with toys, chews, treats, and beds? ______

SECTION D – Plans for Adopted Dog

1. Where will the adopted dog be kept during the day? (Check one)

_____Outside in fence. Is there adequate shelter and water available at all times? _____

_____Outside in pen. Is there adequate shelter and water available at all times? _____

_____Inside, free roam of house.

_____Inside, crated.

_____Inside, confined to certain room(s).

_____Garage/Basement

Comments: ______

2. Where will the adopted dog sleep? (Check one)

_____Outside in fence. Is there adequate shelter and water available at all times? _____

_____Outside in pen. Is there adequate shelter and water available at all times? _____

_____Inside, free roam of house.

_____Inside, crated.

_____Inside, confined to certain room(s).

_____Garage/Basement

Comments: ______

3. If crate is to be used, is it adequately sized and in good condition? ______

4. Are there any questions regarding housetraining, barking, or chewing? ______

5. Explain each of the following:

  1. _____ Inform family that adoption applications and pre-adoption home inspections are approved by Sheri Ray. Sheri will contact the family regarding this inspection and the pending adoption.
  1. _____ Recommend twice daily feedings. Remind the family that some rescue dogs may be a bit malnourished and will need to be fed more food, more often, and in some cases, higher calorie food such as puppy formula until sufficient weight is gained.
  1. _____ Importance of bathing, nail trimming, ear cleaning.
  1. _____ Importance of scheduling a vet visit within 30 days of the adoption. BHRG will follow-up with the vet to be sure heart worm prevention has been purchased.
  1. _____ Telephone Basset Hound Rescue of Georgia immediately if the adopted dog becomes lost or is stolen.
  1. _____ Notify Basset Hound Rescue of Georgia at least one week prior to any change of address.
  1. _____ Do not transfer the ownership of the adopted dog to any other person without first obtaining the adoption approval of Basset Hound Rescue of Georgia. The adopted basset may not be transferred to any other person, firm, corporation, or organization for any reason.
  1. _____ If custody of the adopted dog must be relinquished, notify Basset Hound Rescue of Georgia immediately to arrange for its readoption.
  1. _____ Newsletter is published every 3 to 4 months.
  1. _____ Basset Bash Picnic is held each October.

General Comments:______

______

Signature of Volunteer: ______

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