Foster Survey

Date

Name: *

Has the dog been spayed/neutered?

Yes

No

Appointment scheduled

If no, please provide details:

Is your foster dog good with cats?

Yes

No

No exposure to cats

Are there any health problems with your puppy/dog?

Yes

No

If no, please provide detais:

Comments

Is your foster dog good with other dogs?

Yes

No

No exposure to other dogs

Name of Foster Puppy/Dog *

Where does your foster dog sleep at night?

Please provide any additional information on your foster puppy/dog that you feel is relevent:

Is your foster dog good with children?

Yes

No

Has not been exposed to children

Have the first set of vaccinations been completed?

Yes

No

Appointment scheduled

Current Age of Foster Dog

Please explain:

If no, please provide details:

Current Weight:

Mailing Address