Home visit evaluation 08 03 2017

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Remit via email, fax, or mail: PO Box 87 Hampstead NC 28443 Fax 800-450-0563 Email: kathdrinkard@yahoo.com

Date of Home Visit

Adopter / Foster Applicant

CBR Volunteer

Name

Name

Address

Phone #

Phone #

Email

Inside Evaluation and Discussion Topics Purpose: Informal conversation to determine if the home environment is well-suited and prepared for the arrival of a CBR dog. During the conversation, you should be prepared to 1) evaluate the home and readiness, 2) answer basic questions about CBR, 3) answer basic questions about the CBR adoption process, and 4) discuss basic traits/characteristics of the boxer breed. Discussion Topics: □ Do you have experience with the boxer breed? □ Yes □ No * Be sure to reference the documents you will leave with applicant. Comments: □ Have you adopted a dog before? □ Are there children in the home? □ How did you integrate that dog into your home? □ No □ Yes Ages: □ Do you understand the "slow introduction" process? □ If yes, how do children interact with current animals? □ Is there anything that you need to do to prepare for another dog in the home? Comments: Available Do not Have Plan to Purchase Bedding □ □ □ □ Rescue dogs may need "decompression" time. How can you provide this? Food / Water Bowls □ □ □ * High quality food (allergies) Comments: Toys □ □ □ * Be sure to discuss dangers of rawhide bones □ Training Training Aids/Treats □ □ □ □ Training with positive reinforcement is very important for boxers so Crate □ □ □ that they do not develop undesirable character traits. Pet Insurance □ □ □ □ Do you have experience with dog training or schools? Baby/Dog Gates □ □ □ * Area Coordinator may have suggestions for local resources. □ What is the environment of the home? □ Mellow □ Calm □ Relaxed □ Would you consider adopting/fostering a dog with special needs? □ Chaotic □ Active □ Loud □ No □ Only Dog □ Deaf □ Blind □ Medical Comments: □ Are there any specific characteristics that you are looking for in an adopted dog? □ Are there dogs in the home? Spayed / Neutered? □ No □ Dog Friendly □ Kid Friendly □ No □ Yes □ No □ Yes □ Cat Friendly Breed/Ages: □ Puppy □ 1-3 yrs □ 4-6 yrs □ Senior □ Playful □ How are they contained? □ Male □ Female □ Either M/F □ Lazy □ Do they appear well cared for? □ What is the demeanor of other dogs in the home? □ Discuss CBR Adoption Process Dog 1 □ Dominant □ Submissive □ Playful □ Fearful □ Aggressive □ Adoption Timeframe (could be 2-3 months, could be less) Dog 2 □ Dominant □ Submissive □ Playful □ Fearful □ Aggressive □ Waitlist (Puppy vs. Specific dog) Comments: □ Is this applicant interested in Foster-to-Adopt? □ Are there cats in the home? Spayed / Neutered? * Placement could be within 1-3 weeks □ No □ Yes □ No □ Yes □ Yes □ No □ Maybe Comments: (if you have questions about this section, please contact your area coordinator) Revised 3 August 2017

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Remit via email, fax, or mail: PO Box 87 Hampstead NC 28443 Fax 800-450-0563 Email: kathdrinkard@yahoo.com

Walk-Around (Inside) Purpose: To observe home readiness, potential safety issues, and to make note of any other necessary observations. Walk around the home to all areas that the dog will have access. □ Where will dog eat? (Best Practice: Elevated food/water bowls) Items to be on the lookout for: □ Where will dog sleep? * Things that could attract unwanted chewing □ Where will the dog be when home alone? (BP: Start with crate / small room) * Food or chewing hazards □ Will the dog have access to the garage? * Plans for housetraining and decompression (crate, rooms that can be blocked □ No □ Yes If yes, include on walking tour and look for hazards (chemicals, gas, etc) off, etc) □ Do you observe any hazards in the home? □ No □ Yes Elaborate: Walk-Around (Outside) Purpose: To observe home readiness, potential safety issues, and to make note of necessary observations. Walk the back yard and fence perimeter where the dog will have access. Type of Home □ Apartment □ Condo □ Townhome □ Single Family □ Walk the area and observe the following: Street □ Locks on all gates □ Quiet □ Busy □ In-Between □ Fence is secure and safe (good repair) Is the entire yard fenced? (that dog would have access to) □ Secures dog from outside threats (animals) □ Yes □ No If no fence, is the applicant committed to leash walking? □ Free from debris that may aid dog in jumping fence □ Yes □ No * Exercise for Boxers is critical! (log piles, trash cans, etc) Fence Details □ Area clear of hazards & safety concerns Type □ Wood □ Metal □ Vinyl □ Invisible Comments: Height □ 3ft □ 4ft □ 5ft □ 6+ft * Fences under 4ft should not be relied upon to contain boxers, and some may jump fences up to 6ft!! * We do adopt to applicants with invisible fences. However, realize dogs can and do escape * We do not adopt to families who leave their boxer tied up outside from invisible fences, and they do not keep other dogs from entering your yard. Invisible fences unsupervised (against the law in many counties) or left outside in a are not advised. If present, discuss training plan and possible risks. pen. Any additional comments or notes? Next Steps - Please communicate to applicant □ Within 3-4 days, a CBR representative will email an approval or denial to the main email listed on the application. □ After approval, the person responsible for the geographic area (called an “Area Coordinator”) will be in touch to see what type of boxer your family is looking for. They will also record any specific dogs you are interested in. If the dog is available, the AC will put you in touch with the dog’s foster parent to talk on the phone and potentially arrange a meeting. □ Please do not get your heart set on one specific dog. The dogs seen on Facebook and the CBR webpage may be meeting with adopters now that were approved months ago. We are always taking in new dogs and a potential match may be right around the corner, but also please take note that sometimes we DO have more adopters than available dogs and that could make your adoption wait time 2-3 months. CBR Volunteer Signoff □ Yes □ No Would you feel comfortable leaving your own pet with this applicant? If you have reservations, please explain: Comments if No: □ Yes □ No Do you approve this applicant to foster/adopt based on your visit today? Comments if No:

CBR Volunteer Signature: Revised 3 August 2017

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