Rescue Resumé
This form is designed to collect as much information pertaining to your dog as possible so that we may appropriately identify the home most suited to meet their unique needs and tendencies moving forward.

Please be entirely honest in your answers and if a response does not seem clear-cut, include additional details when available.
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  • - -
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    (if applicable)
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  • We will not make contact until/unless we have first spoken with you
  • Clinic name
    Phone number
    The most recent vet to have seen your dog (put n/a if necessary)
  • lbs
  • (or variation thereof)
  • Your Dog's Behaviors

    Please give us an honest appraisal of your dog so that we may make informed decisions related to placement needs
  • Type of crate (wire/plastic)?
    Length of time typically crated
  • select all that apply
  • --Dr. Ian Dunbar’s Dog Bite Scale--

    Level 1. Obnoxious or aggressive behavior but no skin-contact by teeth.

    Level 2. Skin-contact by teeth but no skin-puncture. However, may be skin nicks (less than one tenth of an inch deep) and slight bleeding caused by forward or lateral movement of teeth against skin, but no vertical punctures.

    Level 3. One to four punctures from a single bite with no puncture deeper than half the length of the dog’s canine teeth. Maybe lacerations in a single direction, caused by victim pulling hand away, owner pulling dog away, or gravity (little dog jumps, bites and drops to floor).

    Level 4. One to four punctures from a single bite with at least one puncture deeper than half the length of the dog’s canine teeth. May also have deep bruising around the wound (dog held on for N seconds and bore down) or lacerations in both directions (dog held on and shook its head from side to side).

    Level 5. Multiple-bite incident with at least two Level 4 bites or multiple-attack incident with at least one Level 4 bite in each.

    *****Levels 1 and 2 comprise well over 99% of dog incidents. The dog is certainly not dangerous and more likely to be fearful, rambunctious, or out of control*****
  • a response of "true" does not mean we will not assist you
  • Select all that apply
  • Please Answer the Following Questions

  • (or does your dog always come with)
  • What brand of food do you feed your dog?
    What flavor?
    Amount per feeding?
    How many times per day?
    What time(s) of day do you feed?