Bainbridge Decatur County Humane Society |
| Dog Profile Form |
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| Your Name |
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| eMail Address |
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| Dog's Name |
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| Dog's Nickname |
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| Do you take your dog outside to go to the bathroom? |
No
Yes
Paper Trained
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| If yes, how many times a day does the dog go out? |
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| How does this dog let you know it needs to go outside? |
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| Does your dog have accidents in the house? |
No
Yes
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| If yes, how often? |
Daily
Few Times per Week
Few Times per Month
Few Times per Year
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| If yes, does your dog: |
Urinate
Defecate
Both
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| Is the dog crate trained? |
No
Yes
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| If yes, how long did the dog spend in the crate each day? |
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| How long can your dog "hold it"? |
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| How long is your dog left alone without people? |
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| When alone, is your dog: |
Outdoors
Free in the House
Confined to a Room
Crated
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| When left alone does your dog: |
Destroy Household Items
Urinate
Defecate
Bark
Cry
None
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| If your dog destroys household items check all that apply |
Chews woodwork,walls
Chews windows,doors
Chews furniture
Chews clothing,shoes
Chews toys
Other
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| When you are home does your dog: |
Destroy Household Items
Urinate
Defecate
Bark
Cry
None
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| How does your dog react to bathing, handling such as petting or hugging? |
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Are there areas on the dog’s body your dog does NOT like to be touched?
Ears, Mouth, Tail, Collar, Rear End, Paws, Nails or Can Touch Dog Anywhere |
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If touched in the above place(s), how does your dog respond?
Moves away, Shows teeth,Growls, Snaps, Bites, No reaction |
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| Is the dog permitted to sit and,or sleep on furniture? |
No
Yes
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How does your dog behave in the car?
Enjoys, Afraid, Resists entering, Sleeps, Barks, Vomits, Urinates, Defecates, Never tried, Fine in a crate, restraint |
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What words does this dog understand?
Sit, Stay, Down, Off, Treat, Cookie, Come, Leave it, Drop, No, Fetch, Okay, Heel, Quiet, Other, None |
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| What are the dog’s favorite kinds of toys? |
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How does your dog react when you or another family member pet or touch...
the bowl or food while eating, a bone, rawhide, etc while chewing, a stolen food item or object, a toy in his,her mouth, pet or move while sleeping. push or pull off of furniture. approach while next to another family member |
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| Has your dog ever had surgery? |
No
Yes
Unknown
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| If yes, please explain: |
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| How does your dog behave during visits to the vet? |
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| Does your dog have to be muzzled at the vet? |
No
Yes
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| Is there anything else we should know about your dog’s medical history? |
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Is there anything you want a new family to know about your dog’s interaction with:
Men, Women, Children, Dogs, Cats, Other |
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Please tell us about your dog’s bad habits or fears
(chewing shoes, jumping on counters or people, hiding during thunderstorms etc): |
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Are there any wonderful, special traits or habits that you
would like his,her new family to know about? |
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