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Dog Profile & Day in the Life
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Email
*
Your email
Dog's Name
Your answer
Owner First and Last Name
*
Your answer
Weight of Dog
Your answer
Breed of Breed Mix
Your answer
Color
Your answer
Birthdate or, if unknown, approximate age
Your answer
Sex
Male
Female
Clear selection
Neutered or Spayed
Yes
No
Clear selection
Allergies (Please Specify)
Your answer
Special Needs
Your answer
How long have you had your dog?
Your answer
Where did you get your dog?
Your answer
If adopted, what knowledge do you have of your dog's history?
Your answer
Has your dog ever been boarded?
Yes
No
Clear selection
If "Yes", what was the experience like for him/her?
(i.e., had fun, stressed being away from us, lost weight, wouldn't eat, diarrhea, etc.)
Your answer
Home
Are there other animals in your house?
Yes
No
Clear selection
If "Yes", please list type, sex and age of each
ex: 1. Cat, Female, 3 2. Parrot, Male, 12
Your answer
How does your dog get along with other household animals?
Your answer
What does your dog do when you're not at home?
Your answer
Training
Has your dog had any formal obedience classes, including puppy kindergarten?
Yes
No
Clear selection
If "Yes", when and where?
Your answer
What commands does your dog know?
Your answer
What percentage of the time does your dog respond to their commands AT HOME?
Your answer
What percentage of the time does your dog respond to their commands OUTSIDE?
Your answer
Does your dog currently use a crate?
Yes
No
Clear selection
If "Yes", describe current crate use
Your answer
Behavior
Describe your dog's personality
Outgoing
Shy
Excitable
Mellow
Active
Fearful
Rambunctious
Content to be around others
Slow to warm up
Couch potato
Other Personality Traits?
Your answer
Does your dog get along well with other dogs that are not members of your household?
Yes
No
Clear selection
If "No" please explain
Your answer
How often does your dog get to interact with other dogs that not members of your household?
Minimal
Moderate
Frequent
Clear selection
How often does your dog get walked on a leash?
Your answer
When on leash, how does your dog react to other dogs on leashes?
Your answer
Does your dog have opportunities to play off leash with other dogs?
Yes
No
Clear selection
If "Yes", where and how often?
Your answer
When off leash, how does your dog react to other dogs on leash?
Your answer
Has your dog ever reacted to anybody (including yourself/family) taking away their food, toys or bones?
Yes
No
Clear selection
If "Yes", please explain
Your answer
Is your dog protective over food/toys/people with other people or pets in your household or people or dogs/other animals outside of your home?
Yes
No
Clear selection
Is your dog protective over food/toys/people with other people or pets in your household or people or dogs/other animals outside of your home?
Yes
No
Clear selection
If "Yes", please explain
Your answer
How Does your dog interact with big dogs?
Choose
Does Well
Doesn't do well
Doesn't care
Don't know
How Does your dog interact with small dogs?
Choose
Does Well
Doesn't do well
Doesn't care
Don't know
How Does your dog interact with older dogs?
Choose
Does Well
Doesn't do well
Doesn't care
Don't know
How Does your dog interact with puppies?
Choose
Does Well
Doesn't do well
Doesn't care
Don't know
Are there any particular breeds (or breed combinations) your dog automatically fears or dislikes?
Yes
No
Clear selection
If "Yes", please describe
Your answer
Does your dog prefer to play with:
Male Dogs
Female Dogs
No Preference
Clear selection
Has your dog ever climbed or jumped over a fence?
Yes
No
Clear selection
If "Yes", how high was the fence?
Your answer
Does your dog act afraid of any specific items or noises?
Yes
No
Clear selection
If "Yes", please describe
Your answer
Has your dog ever growled at a person?
Yes
No
Clear selection
If "Yes", please describe
Your answer
How does your dog react to strangers coming into your home?
Your answer
Are there any kinds of people your dog automatically fears or dislikes?
Yes
No
Clear selection
If "Yes", please describe
Your answer
Has your dog ever bitten someone?
Yes
No
Clear selection
If "Yes", please describe
Your answer
Health and Grooming
Is your dog on a flea and tick preventative program?
Yes
No
Clear selection
If "Yes", which one?
Your answer
When was it last given?
MM
/
DD
/
YYYY
Does your dog have a history of or any current illness or lameness we should be aware of?
Yes
No
Clear selection
If "Yes", please explain
Your answer
If "Yes", what, if any, restrictions need to be placed on your dog's activities or movements?
Your answer
Does your dog like to be brushed?
Yes
No
Clear selection
If "Yes", what type of brush?
Your answer
If "Yes", how often does your dog get brushed?
Your answer
Where are your dog's favorite spots to be petted?
Your answer
Does your dog have any sensitive areas of his/her body?
Yes
No
Clear selection
If "Yes", please describe
Your answer
Does your dog get groomed by a professional groomer?
Yes
No
Clear selection
If "Yes", how often?
Your answer
Does your dog like to get groomed by a professional groomer?
Yes
No
Clear selection
If "No", please explain
Your answer
How does your dog react to having his/her nails clipped or dremeled?
Your answer
How does your dog react to having his/her nails clipped or dremeled?
Your answer
Any additional comments or information we should know about your dog?
Your answer
A Day in the Life of Your Pet
Please describe a typical day of your pet by time period, including potty and feeding times and activity.
6AM - 8AM
Your answer
8AM - 12PM
Your answer
12PM - 4PM
Your answer
4PM - 8PM
Your answer
8PM - 12AM
Your answer
The information provided in this form is accurate to the best of my knowledge
Yes
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