Incoming Dog Profile
Print Name:
Street:
City:
Phone:
State:
Zip:
Dog Profile
Dogs can’t talk so they can’t tell us where or with whom they would like to live. To ensure
that their adoptive home is a safe, happy and appropriate place for your dog to live, we need
you to fill out this form in as much detail as possible.
Dog’s Information— General
Name: __________________________
¡Male
¡ Female
Breed:_____________________ Age:______________
Spayed/Neutered? ¡Yes ¡No ¡Don’t know
Please check one of the following: ¡ This is my dog ¡ This is not my dog, but I live with the dog
¡ This is not my dog, but I know the dog very well ¡This is not my dog, I do not know the dog very well
Why are you not keeping the dog? _______________________________________________
How long have you had this dog? _____________________________________________________
Dog’s Information— Medical
Has this dog bitten a person or animal in the last ten days?
¡Yes ¡No ¡ Don’t know
Has this dog been bitten by another animal in the last ten days?
¡Yes ¡No ¡ Don’t know
Has this dog had any medical problems that you know of?
¡Yes ¡No ¡ Don’t know
Does this dog have a microchip?
¡Yes ¡No ¡ Don’t know
If yes, what person’s name is on the microchip registration?_________________________
Does the dog take any medications (apart from flea/tick and heartworm)? ¡No
medications and what they are for:
Does the dog have a regular veterinarian?
¡Yes - please list
¡Yes ¡No ¡ Don’t know
If yes, please list the veterinarian’s name: ______________________________________________________
Date of last visit: _____________
How does the dog act at the veterinarian’s office? Check all that apply.
¡ Happy/ friendly ¡ Calm/quiet ¡ Scared/ anxious ¡ Growls ¡ May snap or bite
¡ May need a muzzle ¡ Don’t know
Dog’s Information— Behavioral
Describe how the dog acts towards strangers coming into your home? Check all that apply.
¡ Friendly/ excited to greet ¡ Jumps on them ¡ Barks initially then quiets ¡ Takes time to
warm up ¡ Keeps their distance/ doesn’t approach ¡ May growl at times ¡ Don’t know
Is there a certain type of stranger that the dog is uncomfortable with?
¡ Yes ¡ No ¡ Don’t know
If yes, what kinds of people?
How does the dog act around children? Check all that apply.
¡ Friendly/ loves being around kids ¡Friendly but prefers to be left alone
¡ Avoids being near kids ¡ Fearful/ anxious near kids
¡ May snap or bite
¡ May growl at kids
¡ Don’t know
Does the dog live with kids? ¡Yes ¡ No If yes, how old are the kids?_________________________
Has your dog ever snapped at or bitten someone?
If yes, describe what happened:
¡ Yes
¡ No
¡ Don’t know
What does the dog do if someone touches him/her while the dog is eating dog food? Check all that
apply.
¡ Continues eating calmly ¡ Eats faster ¡ Growls
¡ Snaps or bites
¡ Don’t know
What does the dog do if someone touches him/her while the dog is chewing a bone? Check all that
apply.
¡ Continues chewing calmly ¡ Moves away from you ¡ Growls
¡ Snaps or bites ¡ Don’t know
What does the dog do if someone touches him/her while the dog has a favorite toy or thing?
¡ Happy/ wants to play ¡ Moves away from you ¡ Growls
¡ Snaps or bites
¡ Don’t know
Has your dog ever growled, snapped, or bitten when you or someone else has tried to take away an item
he wasn’t supposed to have?
¡ Yes
¡ No ¡ Don’t know
If yes, describe situation:
How does your dog act when you touch them while they are lying down resting in a bed, crate, or
furniture? ¡ Calm/ happy ¡ Ignores ¡ Moves away ¡ Growls ¡ Snaps or bites ¡ Don’t know
How does the dog act when meeting another dog on a leash? Check all that apply: ¡ Don’t know
¡Friendly/ playful
¡ Friendly/ calm ¡ Rude greeter/ plows into other dog ¡ Jumps on dog
¡Growls ¡ Shows teeth ¡Snaps or bites ¡ Ignores/ not interested ¡Fearful/ avoids
Dogs Information— Training
Is this dog housetrained?
¡Yes
¡No
¡ Don’t know
¡Still learning
¡Uses puppy pads
How often does the dog have accidents in the house? Is it pee? Poop? Both?
Has this dog been crate trained?
¡ Yes
¡No
¡ Don’t know
¡Yes
¡No
¡ Don’t know
If yes, do you use a wire or plastic crate?
Has the dog had any formal obedience training?
If yes, what does your dog know? ¡ His / her name
¡Sit
¡ Down
¡Stay
¡Come
¡ Other_________________________________
Does your dog know any tricks? ¡ Yes
¡No
If yes, what tricks have you taught him/ her? __________________________________________
Can this dog be trusted to be home alone for extended periods?
¡ Yes
¡No
¡ Don’t know
Dog’s
Personality
If no, whyInformation—
not?
Describe
how you or others play and interact with your dog. Check all that apply:
¡ Fetch and retrieve ball
¡Fetch and retrieve other object_____________________
¡Tug
¡ Throw objects and chase dog around ¡ Chase dog around ¡ Wrestle with dogs
¡ Play fight with dog ¡ Pat dog all over like a drum
¡Rub belly
¡ Rub ears ¡Rub chest
¡ Pet head ¡ Massage body
¡Kiss dog
¡ Let dog kiss you
¡ Hug dog
¡ Other: ______________________________
How would you best describe the dog’s personality?
Name 3 things you LOVE about this dog.
Does the dog like toys? What kind?
When is the dog the most happy?
When is the dog the most relaxed?
What does the dog eat?
How is the dog with other dogs? Has s/he lived with them, what kind, how did that go?
How is the dog with cats—has s/he lived with them, how did that go?
What are your dog’s daily exercise needs?
Where does s/he sleep?
Anything else you would like to share about the dog?