Potential Home Interview Form

Thank you for taking the time to complete this form. We understand it is somewhat lengthy and contains personal questions that you may feel uncomfortable answering, however these questions are an important part of our screening process and help us see if a specific dog is suitable for your environment. Your information stays with us and is confidential. The only time your information leaves us is to forward onto the dog’s owner if you are enquiring about a dog that is still living with its owner.

NAME OF DOG YOU ARE ENQUIRING ABOUT:

HAVE YOU ADOPTED A GREAT DANE FROM GREAT DANE RESCUE & REHOMING BEFORE?

YES / NOIf yes, please let your Rescue Co-ordinator know as you may not be
required to complete this questionnaire.

Full Name
Address
Phone Number
E-mail
How many adults reside in your home?
What are their ages?
How many under 18’s reside in your home?
What are their ages?
Do members of the family work part-time / full time / unemployed / retired / pensioner / Carer / Housewife / Stay at home Mum?
If Adult family members work full time, how many hours per day will they be able to spend with the dog?
Approx. How big approx (in metres) is the grassed area in your yard?
How many times per week will you be able to commit to walking / exercising the dog off your property (not applicable for farm properties)?
Where will the dog be exercised? e.g. Walked on the street / taken to the park / on property (acreage).
Is it a requirement that you can take your dog to off leash dog parks? (not all dogs are suitable for off lead dog parks)
How many other dogs currently reside at the residence?
If there are other resident dogs, please specify breed/s / age / gender / de-sexed / entire (not desexed).
If there are other resident dogs how do they get along with strange dogs?
If the resident dog/s and the new dog do not get on, what will your plan be?
If the new dog has behavioural problems, how will you address this?
Have you had a dog with behavioural challenges before? If so, please tell us about them and how you worked with them and the result / outcome.
How are your neighbours in-terms of tolerance/patience to barking/whining?
Dogs settling into new environments can be scared and confused when left alone and can sometimes cry, whine, howl, bark.
Why have you decided to adopt a Great Dane?
Why have you chosen to put in application in on this specific Dane?
Where will the dog be when you’re not home?
Does your home have undercover shelter such as a balcony / laundry / garage in-case the dog does not use a dog kennel?
If you will be taking on a Dane puppy or an under 1 year old are you able to separate the Dane from your existing dog/s when you’re not home as young Danes are fragile and can easily become injured during rough play. Most commonly used to separate dogs is a Dog Run/Pen or to separate with fencing.
Where will the dog be when you are home?
Do you have certain areas of your house where dogs are not allowed? If Yes, please tell us more:
Where will the dog sleep at night?
Are you able to provide Dane sized bedding that is soft yet firm to protect the elbows and pressure points of the Great Dane?
How many hours per week are you able to commit to training and/or enrichment?
Have you had to re-home any of your own dogs before? If Yes, please tell us more:
Are there any small animals such as Cats/Rodents/Birds etc. at the Residence? If Yes, will the dog need to get along with these animals or will be they be kept safely away from them?
Are there any Farm animals such as Horses / Cows / Chooks etc. at the residence? If yes, will the dog need to get along with these animals or will they and the dog be kept away from each other securely?
Have any dogs escaped your property before? If yes, how did you remedy this?
How high are your fences and what are they made out of?
If the new dog turns out to be able to get over your fences, what will you do?
If the dog is going to be living with Children and / or Elderly / disabled people and turns out to be too much for them, how will you handle this?
If you have trouble walking the dog, how will you remedy this?
If the dog shows any aggressive behaviours, what will you do?
Are you a financial position to use Behaviourists / Trainers where necessary, these may be expensive.
Are your familiar with the costs associated with Bloat / Torsion? E.g. anywhere from $2,000.00-$5,000.00 for business hours and double that outside of business hours. You will need to be prepared to either cover this or make a choice to euthanize the dog – the decision is a very personal one. What are your thoughts in regards to this?
What expectations does your family have of a new Rescue dog?
What Behaviours / Situations will your family not tolerate and cause you to remove the dog from your home?
New Rescue Dogs may show separation related behaviours which many include destructiveness such as chewing items like their beds, items outside that they have access to and destroying items such as garden beds / scratching doors / windows, is this something you are prepared for?
New Rescue Dogs may have very little Manners / Training, is this something your Family is happy to work with?
Do you understand that a dog may behave differently in your home that it has in previous homes and this may include new behaviours not previously seen before?
A New Rescue dog may not be toilet trained, is this something your family is happy to work with?
What Training Methods do you use?
When your family goes on holiday what plans will you have for the dog?
Have you owned Great Danes before? If Yes, how many ?
If No, have you owned Large Dogs before?
What are your beliefs on de-sexing? You agree or disagree with de-sexing?
Do you own your own home?
If you Rent, do you have Landlord approval to add this dog to your family? If Yes, can you provide proof of permission?
Please be aware that if you are not honest in this question and your Landlord discovers you have a dog you will need to remove the dog immediately from the property.
If you Rent, is the dog allowed in the house?
If you are married / in a partnership, what are your plans for the dog if you have to separate?
Please note a large percentage of Danes come into Rescue because of relationship breakdowns. No one expects their relationship to breakdown but it is important to consider what will happen to the dog in this circumstance especially where reduced income may mean you may no longer be able to have a property suitable for a Dane.
Does adding another dog to your family exceed Council limits / Rental Agreements?
Tell us anything further about your family that may help us / the family make their decision:
Do all those who live at the residence support adopting a dog?
Are you looking at adding any children to your family in the near future or making any major changes?
If Yes (or if this does occur) how will you manage with a Great Dane as well?
What will your plans be if your situation changes in the future i.e. a different job with longer hours etc.

Please send:
Please send this questionnaire along with photos of:

1)Your Backyard

2)Your Fencing

3)The area where the dog will be when you are home

4)The area where the dog will sleep at night.

5)The Family

6)Any other items that you feel will be of assistance

To whomever the contact is for the dog which will be stated in the dogs profile, this could be the dogs private owner or one of the states Rescue Co-ordinators:

NSW:
QLD:
VIC:
SA:
WA:

Are you open to having a property inspection completed as part of the adoption process?

YES / NO

Are you happy for us to contact your Vet for a reference?

YES / NO

Please note we will check your property on Google Earth.