Foster Home Questionnaire – Doberman Rescue of Atlanta

Your Info

Name*

Address*

Cell Phone*

Home Phone

Email Address*

What is your age?*

Please enter a number less than or equal to 99.

Occupation*

Employer

Why are you interested in fostering?*

Your Pets

Do you currently own any dogs?*

Yes
No

Tell us about your dog(s) - breed, temperament, energy level...*

If you do not currently own a Doberman, have you in the past?

Yes
No

Do you have cats?*

Yes
No

Tell us about your cats - how many, indoors/outdoors, interactions with dogs...*

Are your current pets spayed/neutered?*

Yes
No
Not all of them

Are your current pets up to date on vaccinations?*

Yes
No
Not all of them

Are your current pets up to date on heartworm prevention?*

Yes
No
Not all of them

Do you use any type of flea prevention?*

Yes
No
On some, but not all

Your Veterinarian

Veterinarian's Name

Veterinarian's Address

Veterinarian's Phone Number

Do we have your permission to call your veterinarian as a reference?

Yes
No

Your Home

How many adults live in the home, other than yourself?*

Names and ages of other adults living in the home*

Name	Age

Are there children living in the home?*

Yes
No
Yes, but part-time

Names and ages of children living in the home*

Name	Age

Will anyone other than yourself interact with the foster dog on a regular basis?*

Yes
No

Whom, and in what capacity?*

Do you work outside the home?*

Yes
No
No, but only temporarily

What are your working hours? If retired just put "retired".*

Do you have a fenced yard?*

Yes
No

What type of fencing, and how high is it?*

Is the fence attached to the house?*

Yes
No
Partially

Do you have a large dog crate?*

Yes
No

Ae you currently fostering for any rescue group(s)?*

Yes
No

Which group(s)?*

Do we have your permission to contact the rescue group as a reference?*

Yes
No

Have you previously fostered for any rescue group(s)?*

Yes
No

Which group(s)?*

Do we have your permission to contact the rescue group as a reference?*

Yes
No

What experience do you have training dogs?

Taken a group obedience class
Had private obedience lesson(s)
Worked with a behaviorist
Worked with a dog in a sport (agility, nosework, etc.)
Trained my own dogs
Other
None

Select all that apply

What would be your concerns in taking a dog straight out of a shelter into your home?*

Is there anything else you'd like us to know about you?

References

List two references, preferably people who know your history with pets.*

Name	Phone number	Length of time they've known you

Consent*

By checking this box, I certify that all of the information I have given in this questionnaire is true and complete.