Did you notice any behavioural changes at this time?
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Owners Name *
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Home Address *
Your answer
Phone Number *
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Emergency Contact Name and Number *
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Name of Vet *
Your answer
Vet Address *
Your answer
Vet Phone Number *
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What days do you require daycare?
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Date of last vaccination? (DHPPi) *
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Date of last kennel cough vaccine? (Bordetella) *
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Do you feel your dog is well socialised? *
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Do you feel your dog has basic obedience? *
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Has your dog ever bitten? *
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Has your dog ever been bitten? *
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Is your dog currently on any medications? *
When was your dog last treated for ticks and fleas? *
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DD
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YYYY
Do you feel your dog is possessive? (Food, toys or objects) *
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Is your dog afraid of anything? *
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If you answered yes, please tell us of your dogs experience.
Your answer
Is your dog wary of any types of dogs? *
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If yes, please tell us of your dogs experience
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Does your dog play off leash with other dogs? *
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Is your dog sensitive about any parts of their body? *
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If yes, please tell us more about your dogs sensitivity.
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Does your dog have any allergies? *
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If yes, please tell us about these.
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Is your dog prone to infections? (ears, eyes, anal glands?) *
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If yes, please tell us more.
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Is your dog confident around strangers? *
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Is your dog confident going new places? *
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Do you feel your dog is reactive? *
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Does your dog show any signs of anxiety when left alone? *
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Has your dog ever spent a full day in the presence of another dog? *
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Do you take your dog to indoor environments? (Pet stores, cafes, pubs, etc) *
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Please tell us of any injuries/restrictions that
could limit activity.
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What does your dogs daily exercise routine look
like? *
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Does your dog have a structured daily routine? *
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Can your dog receive treats from our handlers? *
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Is your dog crate or place trained? *
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Does your dog bark a lot? *
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Has your dog ever attended a dog daycare before? *
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If yes, has your dog ever been excluded from a daycare? *
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To help us understand your dog a bit better,
please tell us anything you feel would be beneficial for us to know (favourite
names, key words when giving praise, toilet habits, etc) including any training
issues you feel your dog has *
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