Heavenly Creatures

Please fill out this Assessment Form so that we will have an idea of what kind of home the animal needs. The more information we have about an animal, the better.

Your Name

First Last

Contact Phone Number

Email

Animal's Name

What is the reason for the animal needing a new home?

Please give us a detailed description of the animal (colour, weight, markings, age, etc.)

Animal Description - Attach pictures if you have any of the animal

Max. file size: 64 MB.

Who is the animal's veterinarian?

Has the animal been spayed or neutered?

Has the animal been vaccinated?

Yes
No

Has the animal been tattooed or micro chipped?

Has the animal ever seen a groomer?

Yes
No

Animal Groomer Details (if so, please note when and who?)

Has the animal ever seen a trainer?

Yes
No

Trainer Details (if so, please note which trainer and reason?)

Does the animal socialize well with other animals?

Yes
No

Does the animal socialize well with children?

Yes
No

Has the animal ever shown any timidity or aggression toward another person or animal?

Yes
No

Animal Timidity or Aggression Details (if yes, please note the circumstances?)

What does the animal eat (ie, what brand of food, how much, and how often)?

Where does the animal sleep?

If a cat, has he or she been declawed?

Yes
No

If a dog, what commands does he or she know?

Please give us a detailed description of how you view the animal's personality (please note the animal's likes and dislikes, too)

Is the animal accustomed to be walked on a leash (if so, how often?)

Where did you get the animal?

Has yours been the animal's only home?

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Phone

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