Thank you for conducting a home visit on behalf of Speaking of Dogs Rescue Program. The visit is
not just an assessment of the applicants’ home; it is also an opportunity to evaluate the attitude,
commitment and ability of all household members who will be living with the dog and to educate them
as to how best to care for the adopted dog. Your findings and opinion will be a vital component in
determining if this family can give the rescued dog a well-matched permanent home – in short, we are
looking to place a dog in a safe, responsible and loving environment.

Home Visit Evaluation Form


Interior of the House

Exterior of the House

Family Environment

Other Pets


General Impressions

Evaluator Information