Temporary Foster Home Questionnaire

Thank you for considering becoming a Kiko temporary foster home! Please provide as much information as you can, and one of our volunteers will be in touch with you!

How did you hear about us?
When would you be ready to start fostering a dog?
Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Primary phone number Primary phone number - ### - ### ####
Secondary phone number Secondary phone number - ### - ### ####
Email address
Are you currently fostering or have you ever fostered for a shelter or rescue organization before?

Are you currently fostering or have you ever fostered for a shelter or rescue organization before? Yes No If yes, please elaborate: If yes, please elaborate:
How many adults are living in the home and what are their ages?
How many children are living in the home and what are their ages?
Are there children who visit the home often?
Are any family members at home during the day?
How many hours a day would the dog be alone at home?
Where would dog the stay when left at home alone?
Do you currently have other dogs in the home?

Do you currently have other dogs in the home? Yes No If yes, please elaborate: If yes, please elaborate:
Do you currently have any cats in the home?

Do you currently have any cats in the home? Yes No If yes, please elaborate: If yes, please elaborate:
What type of home do you live in?

What type of home do you live in? Apartment Condo House
Are you the homeowner?

Are you the homeowner? Yes No
If you answered 'no' to the above, do you have a written lease granting permission to have a dog on the premises?

If you answered 'no' to the above, do you have a written lease granting permission to have a dog on the premises? Yes No I'm not sure Not applicable
Which of the following best describes your residential environment?

Which of the following best describes your residential environment? Urban Suburban Semi-rural Rural Agricultural
Do you have a backyard?

Do you have a backyard? Yes No
If you answered 'yes' to the above, is it a fully fenced dog-friendly backyard?

If you answered 'yes' to the above, is it a fully fenced dog-friendly backyard? Yes No Not applicable Other description of the backyard or outdoor space:
What age group of dog are you most interested in fostering?

What age group of dog are you most interested in fostering? Puppy 1-3 years 3-6 years 6-10 years Senior Doesn't matter
What size of dog would you feel comfortable fostering?

What size of dog would you feel comfortable fostering? Small (0-25 lbs / 0-11 kg) Medium (26-60 lbs / 11-27 kg) Large 61-100 lbs / 27-45 kg Extra large (101 lbs+ / 45 kg+) No preference
What is your preferred energy level in a dog?

What is your preferred energy level in a dog? Low Medium High Doesn't matter
Are you prepared to work with a dog that may require some level of toilet training?

Are you prepared to work with a dog that may require some level of toilet training? Yes No
Do you have access to a vehicle, and are you able to bring a foster dog to Kiko's vet in St-Lazare as needed?

Do you have access to a vehicle, and are you able to bring a foster dog to Kiko's vet in St-Lazare as needed? Yes No
Are you able to electronically send photos of a foster dog?

Are you able to electronically send photos of a foster dog? Yes No
Please tell us why you're interested in temporarily fostering a dog until a forever home is found
Is there a breed or type of mix that interests you most, and if so, why?
Please tell us about your experience with dogs, and anything else you'd like us to know about you