CANINE FOSTER HOME QUESTIONNAIRE

Name                Evening Telephone

Address  

City, State, Zip Code

Email   Daytime Phone

Fostering is a rewarding and beneficial experience for both you and the animal.  A Caring Place Humane Society recognizes the important service you can provide.

A LITTLE ABOUT YOURSELF

1. How many individuals are in your household?

2. How many of those individuals are children?

3.How many and what type of animals do you have in your home currently?

 Cats          What are their names and ages?

  Dogs         What are their names and ages?

Other:

4. Are the above animals current on their yearly vaccinations of Rabies, Distemper and Bordetella?    Yes No

Please provide the name, city, and phone number of your veterinarian on the line below.

5. Are your current pets already spayed/neutered? Yes  No

If no, what is the reason for that decision?

6. Do you have any pets that currently live outside? Yes  No

YOUR FOSTERING INTEREST: We rely on our foster homes to provide the highest quality of care for the animals, and request your fullest participation in the program.  Below is a listing of typical dog/puppy fostering needs:

* Adult dog                 * Mother dog with a litter of puppies                *Adult dog or puppy recovering from illness

*Litter of puppies without a mother       *Pregnant dog            *Puppy

7. Share with us why you are interested in fostering dogs, and or puppies.

8. I am able to foster: Regularly     Once in a while        When most needed

9. Would you be willing to foster more than one adult dog at a time?  No   Yes

10. What experience do you have caring for adult dogs?

11. What experience do you have caring for puppies?

 12. What experience do you have caring for a mother dog and her puppies?

FOSTERING IN YOUR HOME

13. Where will the dog be kept when you are at home? [check all that apply]

Basement     Gated in room    Crated/caged     Loose in house   Outside     Garage

Other:

14. Where will the dog be kept while you are way? [check all that apply]

Basement     Closed in room    Crated/caged     Loose in house   Outside     Garage

Kennel Run   Gated in kitchen/room  

Other:

15. Where will  the dog spend its nights? [check all that apply]

Basement     Closed in room    Crated/caged     Loose in house   Outside     Garage

Kennel Run   Gated in kitchen/room  

Other:

16. Do you have a yard?  No   Yes     Is it fenced? Type & Height of fence?

17. How often will you allow the dog/puppy access to the outside to eliminate?

18. How many hours will the dog/puppy be left alone each day?

19. Where will the dog/puppy be kept during your sleeping time?

20. Will anyone besides you be responsible for the care of the dog or puppy?   No   Yes

21. How have you prepared your home and yourself to handle issues such as chewing, clawing, digging, urination or defecation inside the house?  

22. Do you have experience in training a dog or puppy basic obedience, including housebreaking, sit , stay, come, off, etc?  No  Yes        If yes, please explain.

23.  What expectations do you have from A Caring Place Humane Society (A.C.P.) during the foster time?

24.  What concerns or questions do you have about fostering with A Caring Place Humane Society?