Home Visits Home Visit Checklist This list must be completed and submitted during the home visit by the volunteer! ← BackThank you for your response. ✨ Volunteer Name Date of Visit Is the main caretaker physically able to care for dog?(required) Select an option Yes No Describe the street: Select an option Quiet Busy In Between Condition of the house: Select an option Clean Messy In Between Hazardous Items: Select an option Yes No Poisonous Plants: Select an option Yes No Are living quarters dog friendly? Select an option Yes No Is there a yard? Select an option Yes No Is there a secured fence? Select an option Yes No Any areas where a dog can slip out or dig under to escape? Select an option Yes No Do they have a pool/pond/stream/lake in their yard? Select an option Yes No If yes, how do they plan to keep their animal secure from drowning? Where will the animal sleep? Where will the animal stay when left home alone? Will they allow the animal on furniture? Select an option Yes No How did they react to the potential adoptee? Are there any other concerns or limitations? Would you personally feel comfortable leaving an animal here? Select an option Yes No Are children respectful of pets (your observation)? Select an option Yes No Submit Δ Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Like Loading...
Two Ladies Four Paws Rescue 