1) Date of home visit *

MM

DD

YYYY

4) How dog knowledgeable are adopters? *

1 (Least)

2

3

4

5 (Most)

5) Are there other dogs in the home? *

Yes

No

6) Are current dog (s) neutered/spayed?

Yes

No

11) Any other pets? *

Yes

No

13) Do they need a cat friendly greyhound? *

Yes

No

14) Where does the cat live?

Inside

Outside

15) Kids? *

Yes

No

17) Any preferences for their greyhound? *

Yes

No

21) Greyhound knowledgeable vet located? *

Yes

No

24) Dwelling type *

Single family home

Apartment/Condo

26) Is the home on a busy street? *

Yes

No

28) Approved *

Yes

No

29) Finished and Ready to Submit *

Yes