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Home
About
About Us
Why You Should Rescue
Contact Us
Adopt
Available Dogs
Adoption Application
Approval Process
Success Stories
Pay Your Adoption Fee
Donate
Volunteer/Foster
Sign Up
Foster Application
Resources
Why You Should Rescue
How Rescue Works
Choosing the Right Dog for You
Helping Chained or Penned Dogs
Tips For Taking Better Dog Photos
Success Stories
Shop
Phone Screen Report
Phone Screen Report
WDR Phone Screener Name
*
First
Last
Date of the report
*
Applicant Info
Applicant's Name
*
First
Last
Dog they've applied for
*
Do you recommend that we proceed to a home visit for this applicant?
*
Yes
No
Veterinary Questions
Do they have a veterinary reference?
*
Yes
No
Name of the veterinary clinic and the person you spoke with
*
How long has the applicant been a client of the vet?
*
When was their most recent appointment?
*
Does the applicant have a history of cancelling or not making routine appointments?
*
Yes
No
Are the applicant’s current pets spayed/neutered?
*
Yes
No
Are all pets up to date on vaccines, and are they on a monthly heartworm preventative?
*
Yes
No
Is there any indication that the applicant may not properly care for their pets?
*
Yes
No
Please elaborate
*
Are there any notes regarding behavioral issues with their current pets?
*
Does the person you’re speaking with know the applicant? If so, ask them whether they believe they would be a good adopter. If not, ask them if there’s anything in their file that makes them think they might not be a good adopter.
*
Applicant Phone Interview
Did you confirm the applicant's address?
*
Yes
No
What are their reasons for adopting a dog now?
*
Is this the first dog that they have applied for, or are they currently considering other dogs or working with other rescue groups?
*
What made them choose the dog listed on their application?
*
Do they have a preference for age, size, energy level, and coat length?
*
Do they have children, and will the children be helping to care for the dog?
*
What is their daily schedule, and how will the dog be integrated into it?
*
What type of arrangements are they planning to make for the dog when they are at work or away from the home?
*
How long will the dog be left alone during a normal day? (for more than 6 hours, adopters should be willing to have a mid-day dog walker or pet sitter relieve the dog)
*
Do they plan to crate train the dog?
*
Yes
No
Where will the dog sleep?
*
Do they currently have any pets?
*
Yes
No
What kinds of pets
*
Dog(s)
Cat(s)
Other
List the breed, age, and energy level of their dog(s). Describe their daily routine and how often they are exercised.
*
What type of food do they plan to feed the dog?
*
What type of daily activity do they plan to commit to for the new dog?
*
Do they have a fenced yard?
*
Yes
No
Partially
What type of fencing and how high is it?
*
How often do they travel, and who will take care of the dog when they're gone?
*
What do they think are “normal” behavioral problems for a dog?
*
Are there any deal-breakers for them in regards to behavior?
*
Do they plan on doing any obedience or behavioral training with the dog?
*
Yes
No
Use this space to elaborate on the training, if necessary
Personal Reference
Will you be doing a personal reference?
*
Yes
No
How long has the reference known the applicant, and how did they meet?
*
How frequently do they see the applicant, and have they had any opportunity to observe the applicant with their current pet?
*
Would they describe the applicant as someone who cares about animals?
*
Yes
No
Please elaborate, if possible
How would they describe the applicant’s lifestyle? Do they think there’s a type of dog (age, breed, energy level) that would be a better fit for the way they live?
*
Based on their knowledge about the applicant’s daily schedule, do they believe they’re going to effectively provide the dog physical and mental activity every day, and are they ready for the responsibility of committing the next 10+ years to caring for the dog?
*
Final Thoughts
Share your impressions of the phone screen, and any additional thoughts or concerns about the adopter here:
*
Include any other comments you'd like to pass along