Home Check Form

Your full name

Your email address

Your daytime phone number

Applicants Name

Applicant Address

Are there any other animals inside the house or in the garden?

Size and security of garden? Please include type of boundary (ie fence, wall etc) and height.

Are there any areas of the house that will be out of bounds to the dog? Will they be allowed on the sofa?

Observations from inside the house - please provide a brief description and also include detail any potential hazards.

Where will the dog sleep at night?

What security measures are in place to prevent the dog escaping when the front door is opened? Eg. Airlock system, stair gate etc.

Any other feedback about the home or applicants?

Are there any outstanding issues to be resolved? Eg Fence repairs etc