Your Dog's Name:
Is your dog:
Age & Date of Birth:
How old was your dog when you adopted it?:
Is your dog a purebred cairn or a cairn mix? If a mix, please specify the mix if known:
Is your dog Spayed or Neutered? If yes, please provide the date, if known:
Please state your dog's weight and whether your dog is overweight, underweight, or about right:
Does your dog have any scars or distinguishing features? If so please describe:
Is your dog microchipped? If yes, please provide the microchip # and the name of the registry:
Is your dog tattooed? If yes, please provide the location of the tattoo, the tattoo # and the name of the registry:
Where did you obtain your dog?
Friend or Relative
Found as Stray
If your dog is from a breeder or rescue organization, please provide a name and location, if known:
Has your dog had any previous owners? If so, how many?
Name of Veterinarian:
Name of Practice:
Are the dog's records under your name? If not, please specify:
PLease Provide the date of your dogs last:
Bordatella/Kennel cough vaccine:
Please answer the following in the text box provided:
Has your dog had a fecal test? If so, what it Negative or Positive? If positive, what was it positive for? Please describe the treatment administered, along wit the date of treatment. Please provide the last follow-up test, and was it negative or positive?
Has your dog had a Heartworm Test? Was this the heartworm/lyme/ehrlichia test? Was is negative or positive?
Is your dog on heartworm preventive? If so, please provide the brand and the last date given:
Please provide the date of your dogs last dental cleaning, if any:
Has your dog ever suffered from any of the following:
Luxating patella or knee/hip Problems?
If there is any other problems, or you wish to explain existing problems, please provide details:
Has your cairn ever sustained any major injuries? If so, please provide details:
Please list the brand and type of food you feed your dog, both dry and moist. Please include the measured amount fed, feeding time(s) ,and any special instructions for preparation, such as mixed with water etc:
Is your dog on a special diet (please specify)? If so, for what reason?
Do you give your dog any supplements or vitamins (please specify)? If so, for what reason?
Please list any treats or snacks by brand, type and frequency, including table scraps:
Dog's Routine/Likes & Dislikes
In good weather, how much time does your dog spend outdoors?
If you take your dog for walks, how often and for how long?
How many hours per day is your dog left alone?
When alone, where is your dog kept?
Is your dog allowed on furniture?
Where does your dog sleep at night?
How does your dog behave in the car?
Does your dog know any tricks (If so, please specify including commands)?
Please describe any special toys:
Please describe any special games your dog likes to play:
Please describe any special ways your dog enjoys being petted, brushed, groomed, etc:
Is your dog frightened of anything (if so, please specify)?
What ages of people have lived with your dog?
Men: Women: Children:
How does your dog interact with men?
How does your dog interact with women?
How does your dog interact with children?
Does your dog behave when someone approaches its:
Yard: Home: Owner(s): Food: Treats: Toys:
Does your dog mind being picked up? If so, please describe:
How does your dog react if disturbed while sleeping?
Does your dog need to be muzzled at the vet's/groomer's? If so, please explain:
Has your dog ever bitten anyone? If so, please explain:
Has your dog ever lived with other dogs? How does your dog interact with other dogs?
Has your dog ever lived with cats? How does your dog interact with cats?
Has your dog ever lived with any other pets (please specify)? If so, how does your dog interact with these pets?
Is your dog housebroken? If not, please provide details:
Please describe your dog's energy level:
Does your dog walk well on a leash? If not, please provide details:
Does your dog tend to dart out of doors? Does your dog tend to escape from the yard?
Does your dog have a tendency to bark? If so, please provide details:
Does your dog suffer from separation anxiety? If so, please provide details:
Does your dog have a tendency to dig?
Does your dog like to swim?
Is your dog crate trained? Do you have a crate? Will you be able to send this crate along with your dog? If so please specify type and size:
Has your dog had any obedience training? Does your dog know any commands? If so, please specify. Please also provide the names and phone numbers of trainers and groomers, if any.
Please describe three things you like about your dog:
Please describe three of your dog's negative characteristics:
Please describe three things you would change about your dog if you could:
Is there anything else you feel someone should know about your dog (if so, please describe):
Please explain why you need to give your dog up for adoption:
On behalf of the Cairn Rescue League, we would like to thank you for taking the time to fill out our Intake Profile. You should receive a response within 24-48 hours. We thank you.
Please click Submit below to send this profile.