Pet Adoption Home Visit Checklist Template Page 2

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Pet Hazards Inside
Yes
No
Is there evidence of small children?
(toys, food scraps - remind adopter that they will be destroyed if not put away)
Are there sewing kits , bobby pins, wash clothes, sponges, small trash cans, razor blades, etc. at pet level or
Yes
No
counter level? (point them out)
Yes
No
Are there chemicals in the garage, basement or storage areas? (point them out)
Yes
No
Does the animal have access to the areas with chemicals?
Do the furnishings of the house appear to be pet proof (glass objects or dried flowers at low levels,
Yes
No
expensive rugs or furniture that can be knocked over by the dog)? Point them out.
Will scratching be a concern? (Ask how they will correct the behavior)
Yes
No
Pet Hazards Outside
What plants are in the yard that may be poisonous? Point them out.
Yes
No
Any sharp objects that could injure the pet in the yard?
How does the family respond when you pointed out hazards?
Ask how long it takes to get to the nearest emergency vet.
Interaction with Current Pets
- This is the most important part of the interview!
Are the current pets well socialized?
Yes
No
Are they reasonably clean?
Yes
No
Are they hand shy in any way?
Yes
No
Can you touch their ears and tails?
Yes
No
Are they friendly and do they approach you in a friendly manner?
Yes
No
How do they react to strangers in the house?
How did they greet you?
After you have spent some time with them, do they relax and accept your presence?
Yes
No
How do they react towards their owners, and do they respond to commands?
If not , how does the owner handle it?
(Are they heavy handed or accepting? Do they force the issue or accept the disobedience?)
Conclusions -
These are the subjective clinchers and we rely on our homecheckers for absolute candor.
Do you feel the adopter will love and care for the dog/cat properly?
Yes
No
Yes
No
Do you feel this home will provide a permanent home for the dog/cat?
If this were your pet, would you do this adoption?
Yes
No
Would you feel comfortable leaving your pet with this family?
Yes
No
Yes
No
Since we have yet to regret turning down an adopter, does this adopting feel right?
Additional Comments ___________________________________________________________________________________
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Name of potential adopters: ___________________________________________________________________________________
Address: _____________________________________________________________________________________________
Agent’s Name: ______________________________________ Phone Number: _________________________________

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