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Surf Dog Swim Spa Client Information
Please complete this form before your first swim session at Surf Dog Swim Spa.
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Email
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Your email
Dogs Name
Your answer
Your Name
Your answer
Address
Your answer
Phone Number
Your answer
Email
Your answer
Veterinarian Name and Phone Number
Your answer
Orthopedic Veterinarian and Phone Number (If applicable)
Your answer
Does your dog know how to swim?
Yes
No
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Describe your dog's experience in water, if any?
Your answer
How do you hope your dog will benefit from swimming?
Your answer
Has your dog had a recent injury or surgery?
Yes
No
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If yes to injury or surgery, please describe.
Your answer
Does your dog have any existing or previous conditions?
Yes
No
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If yes please list them (ie: heart problems, seizures, cancers, respiratory conditions etc.)
Your answer
Please list any behavioral issues we should be aware of.
Your answer
Does your dog have any problems with bowel/bladder control?
Yes
No
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Please list methods of flea control used for your dog, if any?
Your answer
Has your dog ever bitten or had past aggression issues towards anyone?
Yes
No
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Please describe any emotional components of your canine friend that you would like me to be aware of so that I can help him/her to be a comfortable and confident as possible during our swim sessions together.
Your answer
A copy of your responses will be emailed to the address you provided.
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