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Click here to download check list and interview protocal
s
In-home Interview Report
(adoption & fostering)
Please review these questions before conducting your interview. If you are missing info to complete this form, please contact whomever is necessary and then complete form.
*
Indicates required field
Interviewers Name
*
First
Last
Interviewers Email
*
Applicants full name
*
Applicants e-mail
*
If a rental, was landlord contacted and gave approval?
*
yes
no
own home
If a rental property, was is discussed plans for future moves and that pet friendly units are harder to find and more expensive? What was their plan for this?
*
If they owned a dog within the last two years was a vet reference form collected?
*
yes
no
N/A
If no, please explain
*
Did references check out (these must be completed by the interviewer. Please see protocals above)?
*
yes
no
If no, please explain
*
All family members present and attentive for entire interview and checklist reviewed and signed?
*
yes
no (in-home must be repeated)
Are there any mobility or health issues?
*
yes
no
If yes, please explain
*
Can they handle a dog who may bark all night for several nights? Explain
*
Approximate age group of family members, check all that apply.
*
20-25
26-40
41-60
61 and over
kids 5-10
kids 11-15
List ALL family members first names and childrens ages.
*
Check all that apply with regards to children
*
Fearful of dog
Follows parents instructions very well
Calm and quiet
Loud and hyper
Appropriate interactions to dog displayed
Attentive during the interview
Did NOT follow parents instructions well.
NOT attentive during interview.
Have they owned a dog on their own before?
*
yes
no
If so what breed? or size? Do they get along well with other dogs?
*
If animals in home, explain their reaction to your greyhound and if they are dogs, are they trained to listen to their owners or not?
*
Are they ok with using a crate in their main living area for the adjustment period? If not please explain.
*
How comfortable are they that the greyhound can NEVER be allowed off leash?
*
Who will primarily care for the dog?
*
Do they own a pool? Is so, what is their plan for safety?
*
Do the neighbors have dogs?
*
yes
no
If so, are they well behaved and contained safely? What breed or size?
*
What is their current level of dog training knowledge?
*
Very savvy and knowledgeable
Moderate practical knowledge
Very minimal knowledge but willing to learn
Have old school "dominance" training experience.
Explain dog training knowledge here if needed.
*
Have you explained that this is a life long commitment and that all dogs need training?
*
yes
no
Would you feel comfortable leaving your dog with them? If not why not?
*
Do they have a fenced yard?
*
yes
no
If so, what height and is it safe for a greyhound? Do they understand these are indoor dogs?
*
Do you feel they are assertive enough to provide the required leadership?
*
Are they intimidated or afraid of dogs?
*
Are they willing to give the dog and cat months to get used to each other? Explain
*
If they have cats, are they more assertive or timid?
*
Does the indoor environment appear safe for a dog? i.e open stairs, cleaning supplies etc
*
Was monthly costs and emergency vet costs discussed as well as pet insurance?
*
In all honesty, what possible circumstances could arise that would cause them to return a dog?
*
Is there a flexible plan in place for the adjustment period?
*
Explain
*
Other Comments or RED FLAGS as you see applicable?
*
Do you recommend them for adoption why or why not?
*
Have you discusses the $100.00 deposit with them and how to pay that?
*
Submit
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|
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|
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If My Grey Gets Lost
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