Name
*
First Name
Last Name
Email
*
Primary phone
*
(###)
###
####
Secondary phone
*
(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Dog name
*
Breed type
*
Sex
*
Male
Female
Desexed
*
Yes
No
Size of dog
*
Miniature
Small
Medium
Large
XLarge
Age of dog
*
Is your dog on any medication?
*
Yes
No
If YES, please list below, dosage and time given.
What times of the day do you feed your dog/s?
*
Is there a specific routine that is followed when it is feeding time?
*
Does your dog receive treats? If, YES, what do they prefer?
*
Is there a routine that is followed at night? For example, does your dog or dogs have a specific time or place to sleep. So we can replicate the routine as much as possible.
*
Does your dog or dogs enjoy a specific activity at home? Such as cuddling on the couch, playing fetch, or interacting with a favourite toy.
*
Energy levels
*
Low
Medium
High
What basic commands does your dog know?
*
Recall
Sit
Down
Stay
Leave
Heel
Any others?
Which of the following walking equipment do you and your dog use?
*
Neck collar
Head halter
Muzzle
Harness
Long lead
Short lead
Any behavioural issues that I need to be aware of? Such as around strange people, dogs or traffic.
*
Is your dog comfortable with other dogs?
*
Are there any things that your dog does NOT like? Such as baths, thunder or spots not to be touched.
*
Does your dog have any allergies?
*
Yes
No
If YES, please let me know specifics.
Is your dog Microchipped?
*
Yes
No
Vet name
*
Vet phone
*
(###)
###
####
Vet address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
And lastly, is there anything else that you would like to mention about your dog