Approved Review Report

Date of Initial Call*

Applicant

Applicant's Name*

First Last

Address*

Street Address City State ZIP Code

Interviewer

Interviewer's Name*

First Last

Interviewer's Phone*

For us to call with questions.

Interviewer's Email*

Enter Email Confirm Email

Checklist

Discussed Process Thoroughly?*

Yes
No

Explained Not First Come First Served*

Yes
No

Currrently Ready to Adopt*

Yes
No

Since not, when will they be ready?*

Children under Age 8?*

Yes
No

Explained Waiting Time for Right Dog?*

Yes
No

Will They Accept a Mix?*

Yes
No

Will They Accept a Senior?*

Yes
No

Do They Have a Cat?*

Yes
No

Explained Cat Tested Does Not Mean THEIR Cat Will Accept Dog?*

Yes
No

Hours Spent Away from Home*

Explained Long Hours Away Requires a Special Match*

Yes
No

What Are They Looking For In A Dog?

From Your Conversation- Do you agree they are looking at a dog who would be appropriate for their family and lifestyle?*

Yes
No

Do They Understand the Importance of Heart worm Preventitative?*

Yes
No

Did You Inform Them of the New Strain of Heart worms - MP3? And Explain the Old Preventatives No Longer Work and Recommend Pro Heart Shot or Advantage Multi*

Yes
No

Old Preventatives: (i.e., Heartgard, Interceptor, generics, etc.)

Do they have a dog?*

What Brand of Dog Food do they feed?*

Did You Mention Food Links on Our Website?*

Yes
No

Additional Comments

Copy to interviewer

Send me a copy of this report