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Type of Residence:
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Is the neighborhood safe and well kept?:
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Street description:
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Exterior residence condition:
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Yard condition:
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Is there a swimming pool?:
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Is there a dog run or kennel?:
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Is there evidence of a dog tie out?:
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Is there a balcony?:
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Does the property have a fence?:
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Condition of fence:
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Does it enclose the entire yard?:
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Type of fencing:
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Is the fence secure against the ground?:
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Are there locks on the gates?:
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Will they be used?:
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Interior residence condition:
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Is there a basement?:
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Basement condition:
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Will the dog have access to the basement?:
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Basement condition:
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Are there hazards in the basement?:
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Is there a garage?:
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Garage condition:
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Are there hazards in the garage?:
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Will dog have access to garage?:
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Are there other pets in the home?:
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Temperament of current pets:
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How were you greeted by the pets?:
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Do the pets appear healthy and well-cared for?:
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Does the family understand that sometimes rescue animals go through a period of adjustment?:
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Is the family willing to take the time it may require for the adjustment period?:
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Does the family have a basic understanding of a rescue dog's needs, behaviors and possible fears of certain adults and children?:
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Is the family prepared to feed the dog high quality dog food (www.dogfoodadvisor.com or www.dogfoodanalysis.com)?:
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Do you think the applicant will provide a good, loving home?:
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Will this home keep the dog's needs in mind?:
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Will this home provide for the dog's safety at all times?:
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