Pet Adoption Home Visit Checklist Template

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Home Visit Check List
House
Do the storm doors and screen windows close properly?
Yes
No
Do the latches work?
Yes
No
Does it appear that animals are allowed in the house regularly? (hair, food, slobber, pet bed/blankets, toys)
Yes
No
Yes
No
Do you see damage to the house by animals?
Yes
No
Are there house plants? (many are poisonous)
Where will the pet food will be stored. (Check to see if the dog can easily figure out how to get into the storage container.)
Yes
No
Is there a place for a litter box?
Fence and Yard
If yard is fenced, how big is the fenced in area?
Describe the fencing materials:
Yes
No
Is the area properly shaded?
Yes
No
Is there a water bowl in the yard?
Will digging create major problems with landscaping?
Yes
No
Yes
No
Are there places where the pet can leap off decks, etc. and get hurt?
Is there anything stacked near the fence that the dog could climb on to get out?
Yes
No
Are there potential escape routes?
Yes
No
(low places in fence, evidence of digging at the fence line, holes in the fence, loose or high gates)
Yes
No
Are chemicals stored outside? (gasoline, antifreeze)
When you pointed these out to the potential adopter, how did they react?
Yes
No
Do you think they will fix the problems?
Yes
No
Do you think a pet would have escaped if you had not pointed out the problem?
Yes
No
Are there locks on the gates? (against children and thieves)
Neighbors
Yes
No
Is the fence shared with neighbors?
Yes
No
Are there loose dogs/cats in the neighborhood?
Yes
No
Are there children in neighboring yards?
Yes
No
Are there potentially poisonous plants in neighboring yards?
Yes
No
Are there dogs, cats or livestock on neighboring property?
Yes
No
Can any of them get into the pet’s yard?
Describe the surrounding area. (rural, suburban, urban)
What potential hazards are there in the neighborhood/community?
Yes
No
Is there a dangerous street near by that would endanger the cat if he/she were to get out?
Living Arrangements
Where will the animal be when company comes? (crated in the basement, outside, inside, other)
Where will the animal sleep at night?
Where will the animal stay during the day?
How is waste removed?
Yes
No
Does the area look recently cleaned?

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