This form is meant to assist in the Home Visit during the application screening process, and is not meant to be all inclusive. Each visit is different. The questions on this form should be answered but you may add your own questions during the visit. Please note your own observations on the last page under "Additional Visit Comments". Taking photos of the fence and emailing them to the person who asked you to do the visit is extremely helpful. Thank you.
*** Please enter the applicant's information (not yours) in the first section (First Name, Last Name and email) ***
Thank you so much for your help!!
First Name*
Last Name*
Email*
Name of the dog being applied for. You can enter "No Decision" if they are not looking at a specific dog. You can also enter the name of multiple dogs.*
Please enter Your Name *
Date *
All family members there. *
Please enter the name of the person who performed the home visit if different than above
Describe the primary caregiver. Young Middle-aged Older*
DETAIL THEIR EXPERIENCE WITH AND RESPONSIBILITY FOR DOGS If you brought your own dog to the house visit, please comment on how the applicants interacted with the dog - especially the children and other animals in the household.
Are they experienced dog owners (owned dogs before) or are they novice dog owners?
In your opinion, do they seem like responsible dog owners?
Does it appear that all members of the family/household (roommate, parent, semi-live-in friend) are committed to adopting a Pyr?
PLEASE HAVE THEM EXPLAIN THEIR PLANS FOR MANAGING THEIR DOG Where do they plan to keep the dog while they are away from home (while at work or out for family activities)? eg. Crate*
If gone for long hours during the weekday and they do not have a doggie door, what arrangements have they considered for letting the dog out during the day for breaks
Where will the dog sleep?
Where and what do they plan to feed the dog.
If the applicants have doors that open directly onto a street, how will they prevent accidentally letting the dog out onto the street? *
WHAT IS THE PHYSICAL ENVIRONMENTType of home (single family, townhouse, apartment, mobile home, military housing etc.)
Are the floors wood/laminate, tile or other glossy surface that an old or nervous dog would have trouble working on
Does it look as though a Pyr would be welcome there
Does it seem as if the applicant might be obsessively neat or contrary-wise someone who is dangerously sloppy
If the applicants seem to be neatniks, how do they feel about slobbering, shedding, furniture-hogging Pyrs
From your observation, does it appear that the applicants can afford to adopt a dog
Do they have a yard? If so, do they have a fence, runner or kennel
Height of fence and materials
Is it in good repair
Does it appear to be secure
Type of gate and latch - is it easy to escape
Is there adequate shelter
OUTDOOR KENNEL AREA OR RUNIs there adequate shade
How many hours per day will the dog be in the kennel run?
DO THEY HAVE OTHER ANIMALSAre there any other household pets/farm animlas?
How do the applicants appear to interact with these pets
If there are other animals listed as living in the home on the application, but which are not visible - were you able to meet them
Does the number of animals that are actually in the home match up with what was put on the application
Enter any additional information here:
What among these characteristics are important to them
Enter any pertinent comments made by the applicant during Breed Knowledge discussion
Thank you for your help!
