Home Visit Form

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Home Visit Form

Home Visit Report

Thank you so very much for doing a home visit. It is a vital part of the approval process. By agreeing to do this, you are an integral part of helping a dog find the right home. Before you do a home visit, please read the Home Visit Instructions page.

Please skip sections that do not apply.

BASICS:
PLEASE DO NOT FILL OUT THIS FORM AT THE HOME VISIT OR IN THE PRESENCE OF THE APPLICANT(S). During the visit, use this only as a guide!
Type of Home Visit*
- In-Person
- Virtual (FaceTime/Skype)
Date of Home Visit*
MM slash DD slash YYYY
Reporter's Name*
Reporter's Phone Number
Reporter's Email Address*
Would you like a copy of this completed home visit report emailed to you?
- Yes
- No
Applicant Name*
The application lists all persons and pets who reside there. Were they all present during the home visit?*
- Yes
- No
- Unknown
All residents were not present
Unless you have been instructed otherwise ahead of time, you must reschedule the home visit. Inform the residents (which they already know) you cannot do the home visit unless all residents (human & pet) are present.
Uncertain whether all residents are present
The application information you were given lists all people & pets who reside there. Unless instructed otherwise ahead of time, you must see all of them. Ask to see each one, please.
ABOUT THE HOME:
Did the applicant show you the home address outside? Did it match the application?
- Yes
- No
Does the storm door close properly behind you?
- Yes
- No
- None
Do the front door latches work?
- Yes
- No
- Unsure
The home...
- Looks as if they cleaned it just for my visit.
- Looks lived in (like there will be no issue with a Siberian Husky there).
- Seems like it's always pristine, looks like a museum where I am careful not to disrupt things.
Is there evidence of small children (toys, food scraps)?
- Yes
- No
- No. Small children do not live here.
Do you see obvious damage to the home by dogs?
- Yes
- No
Are there areas of the home where dogs are not allowed?
- Yes
- No
- Unsure
How are dogs kept out of these areas?
If other, please explain.
Are there visible house plants?
- Yes
- No
Is the applicant aware of their toxicity or nontoxicity to pets?
- Yes, applicant is knowledgeable.
- No, applicant doesn't know if they are toxic.
- There are no house plants.
Did you see hazards, such as glass objects at low levels, accessible chemicals, expensive rugs, sponges at dog level, razor blades, etc.?
- Yes
- No
Do you see garbage receptacles that the dog can easily ravage?
- Yes, I saw them and dogs can easily tear into them.
- Yes, I saw them. Dogs cannot easily get into them.
- No, I did not see them.
Where will dog food be stored?
Did you notice any other dangers to dogs inside the home? If so, please describe.
FENCE AND YARD:
Please walk the entire fence line & look for problem areas.
Is there a fully enclosed fence?
- Yes
- No
In your opinion, approximately how tall is the fence at its lowest point?
Please don't ask the applicant. We're looking for your eyeball judgment.
In your opinion, approximately how big is the fenced area?
Please don't ask the applicant. We're looking for your eyeball judgment.
Describe fencing materials.
Is the fenced area adequately shaded?
- Yes
- No
- Unsure
If no, please explain.
Is the yard within the fenced area meticulously landscaped such that digging will create an issue?
- Yes
- No
- Yes, but applicant is aware of this breed's propensity for digging.
Are there places where the dog can leap off decks, wood piles, etc.?
- Yes
- No
Is anything stacked close enough to the fence such that it would enable the dog to climb and escape?
- Yes
- No
- Yes, but the dog will never be in the yard unattended.
Do you see evidence of a dog having been digging at the fence line?
- Yes
- No
Are there holes in the fencing, loose boards, rust, or other hazards?
- Yes
- No
How are the gates mounted?
Is the fence shared with neighboring property?
- Yes
- No
Did you notice any other hazards to the dog related to the fencing or yard? If so, please describe.
NEIGHBORHOOD:
Does the applicant appear to have a good relationship with neighbors?
- Yes
- No
- I saw neither neighbors nor evidence of relationships.
Did you see loose dogs in the neighborhood or did the applicant mention any?
- Yes
- No
Did you see cats outside in the neighborhood or did the applicant mention any?
- Yes
- No
Is the house near a high-speed highway?
- Yes
- No
- Unsure
Is there anything else to note regarding the neighborhood?
LIVING ARRANGEMENTS:
Ask the applicant to show you where the dog will be when guests come. Where is that?
Ask the applicant to show you where the dog will spend the night. Where is that?
Ask the applicant to show you where the dog will spend alone time. Where is that?
Did you see an appropriately sized dog crate?
- Yes
- No
Type of crate?
- Hard plastic
- Wire
- Cloth
Where is the crate placed?
- In a bedroom
- In the kitchen/living room/common area
- In a bathroom or closet
- In the basement
- Outside
Is there anything else to note regarding the living arrangements?
INTERACTION WITH CURRENT PETS:
This is the most important part of the home visit. The more detail you provide, the better.
Did you see pets in the home?
- Yes
- No
Do current pets seem well-socialized?
- Yes
- No
Do current pets seem reasonably clean?
- Yes
- No
Do you detect evidence of parasites (excessive chewing, scratching, etc.)?
- Yes
- No
Did current pets greet you at the door?
- Yes
- No
How did current pets act towards you as compared to the applicant?
- Current pets were friendly to everybody.
- Current pets were friendly to the applicant(s) but not to me.
- Current pets were friendly to me but not to the applicant(s).
- Current pets were friendly to no one.
If you witnessed the applicant giving commands to the dog, please describe that scenario and how the dog reacted.
Is there anything else to note regarding the interaction between current pet(s) and the applicant(s)?
INTERACTION WITH YOUR PET:
If applicant(s) do not have a pet, please take your own dog or a Pet Harbor dog and see how they all interact with said dog. If they have cats, DO NOT TAKE A PET!
Did the applicant(s) take to your dog right away?
- Yes
- No
Did any member of the household show any fear of your dog?
- Yes
- No
Is there anything else to note regarding the interaction between your dog and the applicant(s)?
CONCLUSIONS:
If there are areas in need of repair or change, how did the applicant react when you made them aware?
Do you feel this applicant will provide a permanent home for the dog?
- Yes
- No
- Maybe
Does this adoption "feel" right?
- Yes
- No
- Maybe
If this were your dog, would you commit to this adoption?
- Yes
- No
- Undecided
Please attach any pictures you would like to provide related to the home visit.
Drop files here or

Max. file size: 512 MB.
Please use this section for any additional comments you have about this home visit and/or provide a summary of your report. Thank you!

Save and Continue Later

Home Visit Form

Home Visit Report

BASICS:

All residents were not present

Uncertain whether all residents are present

ABOUT THE HOME:

FENCE AND YARD:

NEIGHBORHOOD:

LIVING ARRANGEMENTS:

INTERACTION WITH CURRENT PETS:

INTERACTION WITH YOUR PET:

CONCLUSIONS:

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