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DOG PERSONALITY PROFILE
"
*
" indicates required fields
Owner’s Name
*
Dog’s Name
*
Email
*
Phone
Breed
*
Birthdate
*
MM slash DD slash YYYY
Neutered or spayed (must be neutered/ spayed by 6 months of age to participate in daycare):
Yes
No
Unknown
How long have you had your dog?
Where did you get your dog?
If adopted, do you have any knowledge of the dog’s history? If so, please give details
Please list any other pets currently living in the same household
How does your dog get along with the other pets in the household?
How does your dog react to unfamiliar dogs?
How does your dog react to strangers?
Has your dog ever?
Jumped up on someone?
Yes
No
Unknown
Explain
Growled at someone (including children)?
Yes
No
Unknown
Explain
Bitten a human?
Yes
No
Unknown
Explain
Bitten another dog/animal?
Yes
No
Unknown
Explain
Please indicate the overall level of activity that best describes your dog
Couch Potato – Spends most of his time indoors (including playtime with humans and/or other dogs)
Mild Exerciser – Spends days outdoors, short daily walks and/or regular playtime with humans or other dogs
Moderate Exerciser – Long or multiple walks and/or playtimes with humans or other dogs
Athlete – Regular jogs/runs and/or participation in canine sports (agility, frisbee, flyball, etc.)
What are your goals for your dog in daycare? (Check all that apply)
Socialize with other dogs.
Get more exercise.
Lose weight.
Be supervised while you are away for the day.
Has your dog every been in a doggie daycare?
Yes
No
If so, Where?
Has your dog ever been to a dog park?
Yes
No
Does your dog have separation anxiety?
Yes
No
Is your dog frightened around anything?
Yes
No
If so, What?
How does your dog react with puppies?
Is your dog toy protective?
Yes
No
Food protective?
Yes
No
Water bowl protective?
Yes
No
Is your dog crate trained?
Yes
No
Has your dog had any type of obedience training?
Yes
No
Is your dog on flea preventive?
Yes
No
Does your dog have any allergies? If so please explain
Does your dog have arthritis or hip dysplasia? If so please explain
Does your dog take any medication? If so, for what?
How did your hear about our Doggie Daycare?
Phone
This field is for validation purposes and should be left unchanged.
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