Bainbridge Decatur County Humane Society |
Dog Profile Form |
|
|
|
Your Name |
|
eMail Address |
|
Dog's Name |
|
Dog's Nickname |
|
Do you take your dog outside to go to the bathroom? |
No
Yes
Paper Trained
|
If yes, how many times a day does the dog go out? |
|
How does this dog let you know it needs to go outside? |
|
Does your dog have accidents in the house? |
No
Yes
|
If yes, how often? |
Daily
Few Times per Week
Few Times per Month
Few Times per Year
|
If yes, does your dog: |
Urinate
Defecate
Both
|
Is the dog crate trained? |
No
Yes
|
If yes, how long did the dog spend in the crate each day? |
|
How long can your dog "hold it"? |
|
How long is your dog left alone without people? |
|
When alone, is your dog: |
Outdoors
Free in the House
Confined to a Room
Crated
|
When left alone does your dog: |
Destroy Household Items
Urinate
Defecate
Bark
Cry
None
|
If your dog destroys household items check all that apply |
Chews woodwork,walls
Chews windows,doors
Chews furniture
Chews clothing,shoes
Chews toys
Other
|
When you are home does your dog: |
Destroy Household Items
Urinate
Defecate
Bark
Cry
None
|
How does your dog react to bathing, handling such as petting or hugging? |
|
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 |
|
If touched in the above place(s), how does your dog respond?
Moves away, Shows teeth,Growls, Snaps, Bites, No reaction |
|
Is the dog permitted to sit and,or sleep on furniture? |
No
Yes
|
How does your dog behave in the car?
Enjoys, Afraid, Resists entering, Sleeps, Barks, Vomits, Urinates, Defecates, Never tried, Fine in a crate, restraint |
|
What words does this dog understand?
Sit, Stay, Down, Off, Treat, Cookie, Come, Leave it, Drop, No, Fetch, Okay, Heel, Quiet, Other, None |
|
What are the dog’s favorite kinds of toys? |
|
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 |
|
Has your dog ever had surgery? |
No
Yes
Unknown
|
If yes, please explain: |
|
How does your dog behave during visits to the vet? |
|
Does your dog have to be muzzled at the vet? |
No
Yes
|
Is there anything else we should know about your dog’s medical history? |
|
Is there anything you want a new family to know about your dog’s interaction with:
Men, Women, Children, Dogs, Cats, Other |
|
Please tell us about your dog’s bad habits or fears
(chewing shoes, jumping on counters or people, hiding during thunderstorms etc): |
|
Are there any wonderful, special traits or habits that you
would like his,her new family to know about? |
|
|