🇫-6366 🟠🏠✔️🐕💛 Home check for dog adopters

6256 🟠🏠✔️🐱💛 Home check for cat adopters

Date of visit: *
Prospective owner name: *
Prospective owner surname: *
Name of animal: *
Type of dog, size, age etc. of dog being checked for: *
Mobile: *
email address: *
Address: *
Town / Area: *
Postcode: *
About the people
Which form of identification was used for the Adoption contract? *	DNI NIE Passport
Confirm that you have seen the document, by typing the number here. *
1. Did you meet all those living in the home?
Notes: *
1. Did all individuals appear keen to adopt? *	Yes No Somewhat
Notes:
2. If retired, do the people look young enough to adopt a dog of this age / size? *	Yes No
Notes:
3. If retired, Do the people look fit enough to adopt a dog. At all?/of this size?/of this age? What will happen to the dog if they can't take care of it anymore? *	Yes No
Notes:
4. If retired, Do the people have any mobility/handling issues that you can see? *	Yes No
Notes:
5. Is the house is rented? Does the occupant have permission from the landlord to keep dog(s)? *	Yes No
Notes:
Experience
6. Has the family owned a dog before? *	Yes No
Notes:
7. Have they currently have any other pets? Please specify and did you see them? * 7. Have they currently have any other pets? Please specify and did you see them?	Yes No
Notes:
8. Are there children in the house? Do they look like they match the ages on the application form? *	Yes No
Notes:
9. Are there any children that visit regularly? And if so, what age are they? *	Yes No
Notes:
10. Their working hours are listed on the application – are these still the same and how long would the dog(s) be left for? *	Yes No N/A
Notes:
11. Will the dogs(s) be regularly exercise? Who will do it? Note: Children should not do so on their own! *	Yes No
Notes:
About the property
12. Is the Home near a busy road or any other hazardous area? If yes, please specify. *	Yes No
Notes:
13. Is there a secure garden? *	Yes No
Notes:
14. Is the garden securely fenced or walled with no gaps? *	Yes No
Notes:
15. Is the fence high enough to stop the dogs from escaping? How high is the fence/wall? *	Yes No
Notes:
16. Is the place where the dog sleeps in the day and the night, big enough? Where is it? *	Yes No
Notes:
Commitment
17. Do children know that this is the dog’s own space and not for them? *	Yes No N/A
Notes:
18. Does prospective adopters know how to deal with behaviour problems? * 18. Does prospective adopters know how to deal with behaviour problems?	Yes No N/A
Notes:
19. Do pets already in the household have up to date immunisations and can the checker see the relevant immunisation records? *	Yes No N/A
Notes:
Home Visitor's Notes and Recommendation
Capability
20. What type and size of dog do you think could they handle? *	Small Medium Large
Notes:
21. Do you think their requirements are realistic? *	Yes No
Notes:
22. Is their home suitable for an older dog? *	Yes No N/A
Notes:
23. If you recommend the prospective adopters, please check the Homechecked box.
*	Homechecked
Home checked by: *
Any other information?
.