EmailMe Form - LAB RESCUE OK EVALUATION FORM

Lab Rescue OK, Inc.

Shelter Name & Location

If Dog being Evaluated is not at a shelter; just put Location

Date of Evaluation *

MM / DD / YYYY

Name of Evaluator: *

First Last

Email address of Evaluator:

Dog's Name or ID# *

Breed *

APPROXIMATE AGE: *

Gender of Dog *

Is this Dog? *

IF DOG WAS OWNER SURRENDERED OR NOT RECLAIMED PLEASE STATE WHY HERE:

KNOWN MEDICAL ISSUES:
Please describe any known medical issues or possible medical issues.

KENNEL PRESENTATION:
Please describe the dog's kennel presentation Before he/she is removed from the kennel (type N/A if dog isn't in a shelter environment)

ENERGY LEVEL:
Please describe the dog's energy level: Unknown due to fear, very low, low, moderate, high, very high, extreme (never settles) *

HUMAN SOCIABILITY:
Please describe the dog's behavior in regards to humans: Low Social, Moderately Social, Highly Social? Submissive, Neutral, Dominant? *

VET CHECK
Does the dog easily allow you to: (check all that apply) *

VET CHECK
Does the dog easily allow you to perform a teeth check: *

Extremely Easily (a child could do it)

Somewhat Easy

Fights Hard against it (only a vet should do it)

Dog to Dog Test:
Please describe the dog's behavior in regards to other dogs: Spinning, Growling, Hackles, hard eye contact, lunging, high tail? How is he/she with large dogs? How is he/she with small dogs? Submissive? Dominant? Neutral? Indifferent? *

Dog to Cat Test:
Please describe the dog's behavior in regards to cats: Growling, Barking, lunging, sniffing only, nose touch, tail wagging? *

RESOURCE GUARDING:
Does this dog Guard: *

RESOURCE GUARDING:
Elaborate on Resource Guarding behaviors Below *

GENERAL TEMPERAMENT
Elaborate on the Dog's general temperament: *

UPLOAD PIC OF DOG