CLUMBERS IN NEED

Clumber Spaniel Rescue

Petfinder Website: www.clumbersinneed.petfinder.com

Email:

Phone: (828) 230-2499

Home Visit

Date:

Name of person applying for pet:

Name of person doing Home Visit: ______

Describe the street (busy, quiet, etc):

Describe the setting (rural, urban, suburban) _________

Is there a yard? condition:

Approximate distance from street?

Fenced? Y/N describe:

Is there direct access to fenced area from house?

Is there a pool? In-ground? Above ground?

Is the pool fenced separately? Y/N

How will the dog get exercise?

Where will it relieve itself?

Current leashes/harness if no fence?

Is there a chain tie outside?

Is there a crate available for pet? If so is it appropriate size?

Condition of house?

Condition of basement? Garage?

Hazardous items:

Poisonous plants?

A lot of stairs?

Where will the pet sleep?

Where will the pet stay when left alone?

Are living quarters pet friendly?

Will they allow pet to have free run of the house?

Will they allow pets on the furniture?

Are there a lot of knick knacks?

How many people in the family?

Current pets: Name, type, sex, how long owned, where kept.

Are pets well cared for? Neglected? Abused?

Are children respectful of pets?

How do family members react to each other?

Allergies within the family?

Is the main caretaker physically able to care for the pet?

Where will the pet eat? Is it clean?

What kind of food will the pet eat?

How will they work through behavioral issues?

What would they do if the pet becomes very ill?

How do they housetrain?

What type of flooring do they have?

How would they discipline the pet?

What if current pet and new rescue pet do not get along. What will be done?

Are there any concerns or limitations?

Would I feel comfortable leaving a pet there?

Applicant’s signature: ______Date:

Personcompleting Home Visit signature: Date: ______

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