With every person it's different. We had a home visit before we got Sammie. They made sure we had a big enough yard and a fence and made sure the kids were good with animals. Some dogs have special needs and home visits make sure that you can provide for those special needs, ramp for hip problems, no stairs, etc. And if you already have pets, the people doing the home visit can come to see how well your other pets are taken care of.
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