Dog Personality Profile
Behavior and medical issues do not necessarily create problems, but failing to disclose them certainly does. Dishonest or incomplete responses can undermine the safety and happiness of both your dog and the new adopting family. Please help us find the best possible situation for your dog by answering the following.
Owner's First Name *
Your answer
Owner's Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Alternate Phone
Your answer
Email Address
Your answer
Dog's Name *
Your answer
Dog's Nicknames
Your answer
Color(s) and pattern *
Your answer
Breed *
Your answer
Date of Birth/Age *
Your answer
Sex *
Is this dog spayed/neutered? *
How long have you had this dog? *
Your answer
How many homes has this dog had (including yours)? *
Your answer
Where did you get this dog? *
If you answered "other shelter or rescue group" on the previous question please provide shelter/rescue name
Your answer
If you got your dog from another shelter or rescue group, have you contacted them to return your dog?
If you have contacted the other shelter or rescue group, what was their response?
Your answer
If you have not contacted the other shelter or rescue group, why not?
Your answer
Reason for surrender *
(check all that apply)
Required
Did this dog see a veterinarian on a regular basis? *
(at least once a year)
Which Veterinarian/Clinic?
Your answer
At the vet whose name is the dog under?
Your answer
How did this dog behave at the clinic?
Your answer
Does the vet/groomer MUZZLE this dog? *
Is the dog current on all vaccinations including rabies? *
Has this dog ever been hit by a car or needed surgery? *
If yes, please explain:
Your answer
Has this dog ever been diagnosed or treated for any of the following by a vet? *
(please check all that apply)
Required
Does this dog require any medication on a regular basis? *
If yes, list medication:
Your answer
List places on the dog's body they do not like being touched: *
Your answer
How many HOURS a day is the dog left ALONE? *
Where is the dog when left ALONE? *
(Please check all that apply)
Required
Where is the dog when SOMEONE is HOME? *
(Please check all that apply)
Required
What type of REGULAR EXERCISE does the dog get? *
(Several times per week)
Required
Ages of CHILDREN the dog has been around *
(please check all that apply)
Required
Describe the dog's behavior around CHILDREN *
Please check all that apply
Required
Describe the dog's PLAY STYLE with PEOPLE *
Required
Has the dog lived near FARM ANIMALS? *
If yes, is the dog well behaved around farm animals?
What types of farm animals?
Your answer
Please check all the PETS that the dog has lived with: *
Required
Describe the dog's behavior around other dogs *
(Please check all that apply)
Required
Describe the dog's PLAY STYLE with other DOGS *
(Please check all that apply)
Required
Describe the dog's behavior around CATS *
(Please check all that apply)
Required
Is this dog HOUSE TRAINED? *
Is this dog CRATE TRAINED *
How does the dog do in the car? *
Is the dog calm for NAIL TRIMS? *
This dog is DESTRUCTIVE of... *
(please check all that apply)
Required
Is the dog destructive when you are home or when alone?
Is the dog PROTECTIVE or POSSESSIVE of any of the following? *
(please check all that apply)
Required
In what way is your dog Protective or Possessive?
What does the dog do in the YARD when alone? *
(please check all that apply)
Required
Please describe how you've witnessed this dog react to ADULT FAMILY MEMBERS: *
(please check all that apply)
Required
Please describe how you've witnessed this dog react to CHILDREN FAMILY MEMBERS: *
(please check all that apply)
Required
Please describe how you've witnessed this dog react to GUESTS IN HOME: *
(please check all that apply)
Required
Please describe how you've witnessed this dog react to STRANGERS AT DOOR: *
(please check all that apply)
Required
Please describe how you've witnessed this dog react to STRANGERS IN PUBLIC: *
(please check all that apply)
Required
Please describe how you've witnessed this dog react to NEIGHBOR'S PETS: *
(please check all that apply)
Required
Has the dog bitten a PERSON in the last 10 days? *
If yes, please explain
Your answer
Did the bite draw blood?
Has the dog bitten an ANIMAL in the last 10 days?
If yes, please explain
Your answer
Has the dog ever PREVIOUSLY drawn blood by biting a person or an animal? *
If yes, please explain
Your answer
Has the dog ever been LEGALLY CLASSIFIED as a Potentially Dangerous? *
Have you seen a professional dog trainer or veterinarian for behavioral problems? *
If yes, please list the name, business or clinic:
Your answer
What are your dog's favorite activities?
What toys does your dog enjoy playing with?
Does your dog consume non-food items? Example: Toys, toy stuffing, rocks, trash on ground.
Your answer
Are there any additional comments you would like to add? Does this dog have special needs? Are there specific likes and dislikes you'd like to share?
Your answer
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