Dog Personality Profile | OHS Admissions

General Information

Dog's name*

Dog’s age or approximate age*

Dog's breed

Dog's sex*

Male
Female
Unsure

Is your dog spayed/neutered?

Yes
No
Unsure

Does your dog have a microchip?

Yes
No
Unsure

How long have you owned this dog?

Where did you acquire this dog?

Shelter/Rescue
Stray

Has your dog ever bitten anyone or any animal?*

Yes
No

Did this incident break skin?

Yes
No

Has your dog bitten anyone or any animal in the last 10 days?*

Yes
No

Did this incident break skin?

Yes
No

History

Why are you rehoming your dog?

If we could help you resolve this issue would you be interested in keeping this dog?

What would you like new owners to know about this dog?

Has your dog ever been seen by a veterinarian?

Yes
No

When was the last time your dog went to the vet?

What is the name of the clinic?

How did the dog react to going to vet?

Are there places on the dog's body he/she does not like being touched, brushed or petted?

Yes
No

Where and what does the dog do?

Home Life, Training & Manners

How would you describe your dog most of the time? (check all that apply)

What words does your dog understand (check all that apply)?

What other words does the dog understand?

What are your dog’s favorite things to do? i.e. favorite toys, treats and/or activities.

How does your dog do on leashed walks?

Can this dog be left alone in the house for 8 hours a day without issues?

Yes
No

If not, please explain what the animal does:

Where was the dog when no human members of your family were at home?

Did your dog ever escape the yard?

Yes
No

If yes, how?

Housetraining:

No accidents
Urinates inside home
Defecates inside home

How often does the dog urinate inside the home?

How often does the dog defecate inside the home?

Is this dog possessive or protective?

Yes
No

If yes, when is your dog possessive or protective?

If you chose other, please explain:

Does your dog live with any of the following (check all that apply):

What ages are the children?

Would you recommend placing this dog in a home with other dogs?*

Yes
No

What reason(s) would you recommend placing this dog in a home with other dogs?

What reason(s) would you not recommend placing this dog in a home with other dogs?*

Describe your dog’s play style with other dogs (check all that apply):

Will play with all dogs
Does not enjoy playing with other dogs at all
Picky about the dogs they like
Hangs out with other dogs rather than plays
Plays rough with other dogs
Chases or herds other dogs
Barks constantly
Prefers dogs that are gentle or indifferent

Would you recommend placing this dog in a home with cats?*

Yes
No

What reason(s) would you recommend placing this dog in a home with cats?

What reason(s) would you not recommend placing this dog in a home with cats?

Would you recommend this dog be around children regularly?

Yes
No

What reason(s) would you recommend placing this dog in a home with children?

What reason(s) would you not recommend placing this dog in a home with children?

Please check all that frighten this dog:

Has this dog done any of the following when interacting with adults in the home?

Has this dog done any of the following when interacting with the children in the home?

Has this dog done any of the following when interacting with visiting adults?

Has this dog done any of the following when interacting with visiting children?

Has the dog done any of the following with a vet or groomer?

Has the dog done any of the following with pedestrians?

Has this dog done any of the following with cars, bikes or skateboards?

Has this dog done any of the following with resident dogs?

Has this dog done any of the following with dogs outside of the home?

Has this dog done any of the following with resident cats?

Has this dog done any of the following with cats outside of the home?

Has this dog done any of the following with wildlife and/or livestock?

Your Information

Your name*

First Last

Please enter your address below*

Street Address City State ZIP Code

Your phone number*

Comments

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