| Home Visit Check List |
| Date of Visit: ________________________ PBGV Lifeline Volunteer: ______________________ Applicant's Name: __________________________________________________________________ Address: _________________________________________________________________________ Describe the street: Busy _____ Quiet _____ In between _____ Describe the setting: Rural _____ Suburban _____ Urban _____ How did they react to my dog? Is there a yard and what is the condition of the yard? Is the yard fenced? Yes _____ No _____ Describe fence: Are there any areas or gates where the dog can slip out or dig under to escape? Where will dog relieve itself? How will the dog get exercise? Do you see current leashes/harnesses if no fence? Is there a chain tie-out outside? (PBGVs cannot ever be tied out) Condition of house: Condition of basement: Condition of garage: Hazardous items? Poisonous plants? Are there lots of stairs? Where will the dog sleep? Where will the dog stay when left alone? Are living quarters dog friendly? Will they allow dog to have free run of the house? Will they allow dog on furniture? Are there small objects or knicknacks at dog level? How many people in family? Current pets? Name and type of pets, sex, age, now long owned, where kept. Are pets well cared for? Neglected or abused? Are children respectful of pets? How do family members react to each other? Are there any allergies in the family? Is main caretaker physically able to care for the dog? When and where will the dog eat? Is it a clean area? What kind of food will it eat? What will they do if the PBGV becomes very ill? How will they housetrain? What type of flooring do they have? How will they work through behavioral issues? How would they discipline a dog? What if their current pet(s) and rescue PBGV don't get along? What will they do? Any other concerns or limitations? Would I feel comfortable leaving a dog there? |
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