Has this dog ever bitten anyone? *

Yes

No

If yes, please explain the circumstances of the bite:

If you wish to elaborate on your foster dog's interactions with children you can do so here:

Is Dog Afraid of: *

Men

Women

Children

Other Dogs

Household Items

None

If yes, please describe the illness or health problem and what is being done to treat it.

What is the breed of the dog? *

Thank you for for filling out this form! This will help us to place your foster pup in a wonderful home!

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Where does the dog spend nights? *

indoors, free

indoors, crated

fenced yard

kennel run

garage/basement

outdoors uncontained

tie out

barn/field

unknown

other

What is the dogs energy level?

Low

Medium

High

List any medications your dog is taking and how often:

Is the dog good with all people? *

Yes

No

Don't know

Is the dog up to date on rabies shots? *

Yes

No

Don't know

Dog's Name: *

When did the dog arrive at your house?

Address *

Would this dog be able to be off leash with proper training? *

Yes

No

Is the dog good with other dogs? *

Yes, All

Yes but only Females

Yes But only Males

Yes but not with small dogs

Yes but not with big dogs

No

Is the dog good with cats?

Yes

No

Don't know

Is the dog spayed or neutered?

Yes

No

Describe any distinguishing markings:

What is the color of the dog? *

Your Name *

Phone *

Describe any bad habits this dog has? *

Does this dog know commands/tricks?

List any other shots (lyme, etc)

Is the dog up to date on bordetella shots? *

Yes

No

Don't know

How old is the dog? *

Is this dog housebroken? *

Yes

No

Is this dog crate-trained? *

Yes

No

Is this dog good on a leash? *

Yes

No

Is your foster dog being treated for any health problems? *

Yes

No

Don't know

Dog is *

Male

Female

How long is the dog left alone for during a typical work day? *

Please elaborate on how long the dog is home alone for (during a typical work day) and where the dog spends time when no one is home. *

What are your foster dogs best qualities? *

Is the dog good with children? *

Yes good with children of all ages

Yes best with children over 6

Yes best with children over 12

No

I don't know

What is the approximate weight of the dog? *

Does the dog have separation anxiety? *

Yes

No

If so, describe the signs your foster dogs exhibits.

How much daily exercise does this dog require? *

Is the dog prone to bolting out the door/gate? *

Yes

No

Is the dog up to date on distemper/parvo shots? *

Yes

No

Don't know

Foster Evaluation Form

Thank you for fostering a dog in need. In order to make the best match for your foster dog, we ask that you fill out this form after you have had the dog for at least five days. We want to allow your dog to become comfortable and get a true evaluation of his or her tempermant.

Please be as honest and accurate as possible in your evaluation. If there is anything you would like to share after you have done the evaluations, please email that info to foster@poorpawsrescue.com. The health portion of this form will require you to look at the records that came with your foster dog.

Also, please take picture of your foster dog and upload them to us via this form. A great picture is worth a thousand words!

Thank you!

Upload a photo of your dog here: *

We were unable to upload your file. Please ensure your file is 10MB or smaller in size.

Is the dog afraid of thunder/loud noises? *

Yes

No

Where does the dog spend the day (check all that apply) *

indoors, free

indoors, crated

fenced yard

kennel run

tie out

outdoors unconfined

garage/basement

barn/field

unknown

Does your dog have any of the following problems (check all that apply)

hip or joint problems?

skin problems?

ear infections?

bladder stones?

epilepsy?

food allergies?

NONE

Email *

Is the dog heartworm negative? *

Yes

No

Don't know

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