Temporary page for demo of Pet Personality – Dog General InformationDog's name* Dog’s age or approximate age*Dog's Breed* Dog's sex* unknown Male Female Does this dog have a microchip?* unknown Yes No Where did you acquire this dog?* Shelter/Rescue Stray Other Name, City, and State of place dog was acquired How long have you owned this dog?For example "0 years & 1 month" or "10 years & 5 months"Years*Months*Medical HistoryIs this dog spayed/neutered?* unknown Yes No Date of last known Vet visit* Name, City, & State of Vets* Known health issues* Bite HistoryHas this dog ever bitten A PERSON OR ANOTHER ANIMAL?* Yes No Has this dog bitten A PERSON OR ANOTHER ANIMAL in the last 10 days?* Yes No Elaborate on the circumstances and severity of the bite(s)* HistoryWhy are you rehoming this dog?* If we help resolve this issue, would you be interested in keeping this dog?* Yes No Are there spots this dog does not like being touched, brushed or petted?* Yes No Where does the dog not like being touched, brushed or petted? What would you like new owners to know about this dog? Home LifeHow many hours alone without an issue?*HiddenCan this dog be left alone in the house for 8 hours a day without issues? Yes No Did this dog ever escape the yard?* Yes No Please elaborate on the escape circumstances Where did this dog spend most of its time?*Inside with familyInside away from familyOutside on a chain or a ropeOutside in a kennel/runOutside in a yardWhere did the dog stay when no human members of your family were at home?Free roam of the houseConfined particular roomIn garage or basementCratedOutsideMannersWhat are this dog’s favorite toys, treats, or activities? How would you describe this dog most of the time?AffectionatePlayfulLap dogFriendly with visitorsShy with familyShy with visitorsIndependentVery activeNot very activeTalkativeUses mouth/jumps up in playIs this dog possessive or protective?* Yes No How does this dog do on leashed walks? Describe this dog’s play style with other dogsWill play with all dogsDoes not enjoy playing with other dogs at allPicky about the dogs they likeHangs out with other dogs rather than playsPlays rough with other dogsChases or herds other dogsBarks constantlyPrefers dogs that are gentle or indifferentDoes this dog live well with any of the following?Large dogsSmall dogsCatsSmall animalsLivestockChildrenWhat ages are the children? TrainingWhat words does this dog understand?SitStayComeLeave itDropWaitHeelOffOtherWhat other words does the dog understand? House - Training statusNo accidentsUrinates inside homeDefecates inside homeHow often does the dog urinate inside the home? How often does the dog defecate inside the home? BehaviorsWould you recommend placing this dog with any of the below?Not sure or UnknownDogsCatsChildrenLivestockWould you recommend NOT PLACING this dog with any of the below?DogsCatsChildrenLivestockOtherPlease elaborate on the reason for not recommending these placements Has any of the following FRIGHTENED this dog?Babies or toddlersSchool-age childrenTeenagersMenWomenStrangers/visitorsPeople in uniformVeterinarian/groomerLoud voices/yellingFireworks/loud noisesErratic or sudden movementWaterUnpredictable childrenBroom/vacuumRiding in carLoud vehiclesknown Fear not listed aboveNone knownHas this dog BARKED at any of the following?Adults in the HomeAdult VisitorsChildren in the HomeChildren VisitorsPedestriansVet or Groomercars, bikes or skateboardsDogs inside the homeDogs Outside the homeCats Inside the homeCats Outside the homewildlife and/or livestockunknown or no to all of the aboveHas this dog GROWLED at any of the following?Adults in the HomeAdult VisitorsChildren in the HomeChildren VisitorsPedestriansVet or Groomercars, bikes or skateboardsDogs Inside the homeDogs Outside the homeCats Inside the homeCats Outside the homewildlife and/or livestockunknown or no to all of the aboveHas this dog SNAPPED at any of the following?Adults in the HomeAdult VisitorsChildren in the HomeChildren VisitorsPedestriansVet or Groomercars, bikes or skateboardsDogs Inside the homeDogs Outside the homeCats Inside the homeCats Outside the homewildlife and/or livestockunknown or no to all of the aboveHas this dog BITTEN any of the following?Adults in the HomeAdult VisitorsChildren in the HomeChildren VisitorsPedestriansVet or Groomercars, bikes or skateboardsDogs Inside the homeDogs Outside the homeCats Inside the homeCats Outside the homewildlife and/or livestockunknown or no to all of the aboveYour InformationName First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Phone
