About your dog:
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First Name
Last Name
Age, breed and estimated weight?
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What is your dog's birth date?
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MM
DD
YYYY
What is your dog's adoption date?
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MM
DD
YYYY
What is your dog's gender?
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Unaltered Female
Spayed Female
Unaltered Male
Neutered Male
Is your dog up-to-date on their vaccinations?
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Yes, and I would be more than happy to provide proof of my dog's vaccination records.
No.
Does your dog have any medical conditions or allergies? If yes, please describe what they are.
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Does your dog receive any medications or supplements? If yes, please describe and explain.
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Please describe your pup's feeding schedule.
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Do you have a preference on what kind of treats your pup is fed?
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What is your dog's typical potty break schedule at home?
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Every hour
Every 2 hours
Every 4 hours
Every 6 hours
Every 8 hours
To what extent is your dog house-trained?
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Completely
A few accidents per month
A few accidents per week
Daily accidents
How does your dog tell you they need to go potty? How does your dog tell you they are ready to come back inside?
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What would you rate your dog's energy level as with 5 being high energy and 1 being low energy?
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1
2
3
4
5
Please describe your dog's exercise needs and routine. What are their favorite activities?
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What command words does your dog most understand?
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(Sit, Stay, No, Down, Off, Come, Heal, Here, Shake, Fetch, Drop it, Free, Release, Wait, etc.)
What level of recall does your dog have? Do they come when they are called? When they are leashed, what are their leash manners like?
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Where does your pup typically sleep over night?
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(Do they sleep in a crate? On the floor? The couch? On a dog bed? In bed with you? In a dog-proof room?)
If you need to leave your pet for any reason, how long can they be left alone and what do you do with them in the mean time?
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Example: Less than an hour / 1-4 hours / 4-8 hours / free roaming the house / crated / take them with you / etc.
Has your dog ever shown aggression with other people, children or other animals? If yes, please explain.
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How does your dog respond to strangers when meeting them or in passing?
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What is your dog's experience with children? How do they behave around them?
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Which best fits your dog's typical reaction to other dogs?
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LOVES meeting and playing with other dogs.
Typically enjoys meeting and playing with other dogs but can be anxious.
Friendliness very dependent on the individual dog.
Doesn't do well with younger dogs or highly energetic dogs.
Doesn't do well with females.
Doesn't do well with males.
Doesn't do well with smaller dogs.
Doesn't do well with bigger dogs.
Doesn't tend to react well with other dogs, male, female, old or young.
What is your dog's experience with cats? How do they typically behave around them?
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Is this your dog's first experience staying overnight, away from you?
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Is there anything else you think we should know about your dog or any other special instructions you can think of that would help us to better care for your dog?
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(Any dislikes? Fears? Bad habits? Silly or quirky habits? Is your dog a runaway or escape artist from past experiences? Is your dog a hole digger? A heavy chewer? Do you have any rules or expectations for your dog that would be helpful to know?)
Owner’s name
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First Name
Last Name
Phone
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(###)
###
####
Email
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What is your preferred veterinary office?
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What is your preferred veterinarian’s phone number and location?
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Please provide two local emergency back up contacts with their first & last name, their phone numbers and their relation to you.
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What are the dates you are requesting care for?
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If you are the pet parent of multiple dogs, which dog(s) are you requesting care for over the dates you selected?
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Do you have a drop-off time in mind already?
(Please keep in mind our business hours for scheduling a drop-off or pick-up are between 8am-8pm Monday-Saturday)
Hour
Minute
Second
AM
PM
Do you have a pick-up time in mind already?
(Please keep in mind our business hours for scheduling a drop-off or pick-up are between 8am-8pm Monday-Saturday)
Hour
Minute
Second
AM
PM
Would you be interested in a meet and greet or trial daycare stay ahead of time?
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Are there any questions you have for us?
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Will you be submitting another questionnaire for any additional dogs?
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(If yes, please list their names. Thank you!)
