Pre-Adoption Home Inspection Form
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3Date of Inspection:________________________________
Inspection Completed By:_________________________________
Pre-Adoption Home Inspection Form
SECTION A – General Information
Name of Suncoast Basset Rescue Dog(s) Interested in: 1. ____________________________ 2. _____________________________
Name of Family: ____________________________________________________________________________________________________
Address: _______________________________________City:_______________________________ State: _____ Zip: _______________
Name of Apartment Complex: ______________________________________________________________________________________
Home Phone: ____________________________ Cell Phone: __________________________ Work Phone: _______________________
E-mail: _____________________________________________________________________________________________________________
SECTION B – House & Yard
1. Check one:
___ House
___ Condo
___ Apartment ___ Mobile Home
2. Check one:
___ Own
__ Rent
If renting, Landlord's name _________________________________ Phone Number _________________________
3. Does the home have central heat/air and adequate ventilation?
YES
NO
If no central heat/air, what type of cooling/heating/ventilation systems are in place? __________________________
4. Is the yard fenced?
If yes,
a. What type of fence? ___ Chain link
___Privacy
___Picket
___Other___________________
b. Is it adequately sized for the dog?
YES
NO
c. Is fence secure, free from holes, gaps, and weaknesses?
YES
NO
If no,
a. ___ Discuss the importance of leash walks and exercise.
b. ___ Remind to never let dog have free roam outside.
5. Is there a hot tub?
YES
NO
Is there a pool?
YES
NO
If yes, is dog adequately protected from entry into the hot tub or pool?
YES
NO
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Parent category: Business