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Pet Screening / Intake Form
Welcome! Before attending a meet & greet or booking, please fill out this brief pet intake form. It helps us ensure compatibility and start your dog's profile. Your input is key to providing the best care possible. Thank you. Please note that your information may be used for marketing purposes - you may opt out of marketing emails once you create an account with us.
Your information will NOT be sold or traded.
www.zoeyandfriends.carrd.co
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* Indicates required question
Email
*
Your email
Owner's Name
*
Your answer
Owner's Phone #
Your answer
Owner's Mailing Address
*
Your answer
Is anyone in your household military, a first responder or a teacher? (With valid ID)
Yes - Active Duty
Yes - National Guard
Yes - Reserves
Yes - Retired Veteran
Yes - EMS
Yes - Police / Firefighter
Yes - Other Law Enforcement (ie. border patrol, DHS, etc)
Yes - Teacher
No
Clear selection
Have you read our policies? (Please note that once you book services with us, you agree to all of the terms and conditions outlined in our policies. Please read through thoroughly -
https://zoeyandfriends.carrd.co/#policies
)
*
Yes - I agree
No - I don't agree (by checking this box, your meet & greet will automatically be cancelled)
Pet(s) Name, Breed & Age
*
Your answer
How many pets do you need this service for?
*
1
2
3 or more
What dates do you need?
*
Your answer
Do you need boarding or daycare?
*
Boarding
Daycare
Both
Are your dog(s) spayed or neutered?
*
Yes
No
Required
Are your dog(s) friendly with other dogs?
*
Yes
No
I don't know
Required
Are your dog(s) up to date on all vaccinations and on a flea and tick preventative? (Rabies, Bordetella, Lepto, and at least one combo vaccine (ie. DHLPP) )
*
Yes
No
No, but will be at the time of service
Required
Is your dog familiar with a kennel?
*
Yes, my dog regularly uses a kennel (ie. sleeps in it, stays in it when you are not at home)
Yes, my dog has a kennel but isn't it in regularly (ie. we don't ever close the door)
Yes, my dog hates being in a kennel (ie. barks while in or paws at it)
Yes, but only at the groomers
No, my dog has never been introduced to a kennel
Other:
What do you feed your dog(s)
*
Kibble
Wet & Dry Combo
Commerical Raw (such as the Farmer's Dog or Stella & Chewy)
Raw - that needs prepared
Only Wet Food
Other:
Required
Do your dog(s) require medication?
*
Yes
Yes, more than 2x daily
No
Required
If your dog(s) does require medication, what type is it?
Oral
Topical
Injections
Other:
Please list 2-3 dates and times you are available for a meet and greet.
Your answer
How did you hear about us?
*
Facebook
Nextdoor
Instagram
Google
Word of Mouth / Referral
Other:
A copy of your responses will be emailed to the address you provided.
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