PAPILLON HAVEN RESCUE
Home Visit Check List
Date of Visit:
Name:
Address: City: Zip:
Phone:
(Please be sure to put the full info for the applicant)
Describe the street: Busy_____Quiet______In between______
Describe the setting: Rural____Suburban____Urban______
How did they react to my dog?
(only applies if you take the proposed adoptive doggie along)
Is there a yard? Condition of yard:
Is the yard fenced?
Describe fence:
Are there any areas of gates or fence where a toy dog can slip out or dig under to escape?
Where will dog relieve itself?
How will the dog get exercise?
Do you see current leashes/harness if no fence?
Is there a chain tie out outside? (Paps cannot ever be tied out)
Condition of house:
Condition of basement:
Condition of garage:
Hazardous items?
Poisonous plants?
Are there lots of stairs?
Where will dog sleep?
Where will the dog stay when left alone?
Are living quarters dog friendly?
Will they allow dog to have free run of the house?
Will they allow dog on furniture?
Are there lots of small objects or knickknacks at dog level?
How many people in family?
Current pets: Name Type of pet Sex Age How long owned Where kept
Are pets well cared for? Neglected or abused?
Condition of dogs' teeth - if you can sneak a peek at the teeth :)
Are children respectful of pets?
How do family members react to each other?
Are there any allergies in the family?
Is main caretaker physically able to care for dog?
Where will the dog eat - is it a clean area?
What kind of food will eat?
What will they do if the Pap becomes very ill?
How will they housetrain?
What type of flooring do they have?
How will they work through behavioral issues?
How would they discipline a dog?
What if their current pet(s) and rescue Pap don't get along; what will they do?
Are there any other concerns or limitations?
Would I feel comfortable leaving a dog here?
Have they applied to adopt from another rescue group? Who?
Or… Do you FOSTER for other rescue groups? Who?
If so, you will be required to inform PapHaven of other foster pets PRIOR to taking them into your home as you are being evaluated based on the home as it is seen when visited by our representative doing the Home Visit.
How did the applicant hear about PapHaven? (check as many as apply)
PapHaven website Radio Announcement
Pet Finder website TV Announcement
Adoption Event Word-of-Mouth
Newspaper Article Just Stumbled on to Us
Other
Visited by: ______(name required)
Phone: ______
Email: ______
Email report to: (preferred)
Or Snail Mail to: PapHaven PO Box 20306, Hot Springs AR 71903