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Pet Care Questionnaire
Below are important questions that will help us provide you and your pet(s) with the best care possible.
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* Indicates required question
Email
*
Your email
What is your First and Last name?
*
Your answer
What is your Phone #?
*
Your answer
What is your email?
*
Your answer
How did you hear about us?
*
Google
Instagram
Facebook
Business Card
Truck magnet
Friend
Your apartment building
Other:
What is your Dog's Name?
*
Your answer
What Breed is your Dog?
*
Your answer
How old is your dog (months/years)?
*
Choose
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
12 Months
1-1.5 years
1.5-2 years
2-3 Years
3-4 Years
4-5 Years
5-6 Years
6-7 Years
7-8 Years
8-9 Years
9-10 Years
10-11Years
11-12 Years
12-13 Years
13-14 Years
14-15 Years
16-17 Years
Is your Puppy / Dog Neutered / Spayed
*
Yes
No
Tell us how you became your Puppy / Dog's owner.
*
Choose
Adoption
Breeder
Pet Store
Friend
Found in the street
My dog had puppies
Won dog in the divorce (lol)
Has your puppy / dog been through any previous training? If yes, please explain.
*
Your answer
Would you like us to do any training while we are taking care of your dog(s)
Yes
No
Other:
Clear selection
Is your Puppy / Dog exhibiting any UNWANTED behaviors or have any Health Issues? We appreciate your 100% honesty.
Column 1
Biting
Going to the bathroom in the house
Chewing on everything
Barking
Pulling on Leash
Aggression on Leash
Separation Anxiety
Food Allergy
Destructive Behavior
Difficulty Breathing
Joint Pain
Medication
Other
Column 1
Biting
Going to the bathroom in the house
Chewing on everything
Barking
Pulling on Leash
Aggression on Leash
Separation Anxiety
Food Allergy
Destructive Behavior
Difficulty Breathing
Joint Pain
Medication
Other
Please select what items you will be providing us for your pet.
*
Crate
Toys
Bed
Harness
Collar
Leash
Other:
Required
What time does your pet(s) eat their 1st meal?
Time
:
AM
PM
How many cups of food? Describe Preparation
*
Your answer
What time does your pet(s) eat their 2nd meal?
Time
:
AM
PM
How many cups of food? Describe Preparation.
*
Your answer
What time does your pet(s) eat their 3rd meal?
Time
:
AM
PM
Does your dog have any food allergies?
Yes
No
Other:
Clear selection
What time does your dog wake up?
*
Time
:
AM
PM
What is your dog's bathroom schedule?
*
Your answer
Where does your dog sleep?
Column 1
Crate
Playpen
Couch
In bed with you
Other
Column 1
Crate
Playpen
Couch
In bed with you
Other
Is your dog animal friendly?
*
Yes
No
Other:
How do you provide your dog exercise?
Column 1
Walks
Dog Park
Roller Blading
Skate Boarding
Play Dates
Swimming
Other
Column 1
Walks
Dog Park
Roller Blading
Skate Boarding
Play Dates
Swimming
Other
Does your dog have all of their Up-to-date Vaccinations?
*
Yes
No
Other:
Please provide your Veterinarian Information below:
*
Your answer
Please list any other emergency contact info below:
Your answer
Please tell us any other information that will help us provide your pet(s) with the very best pet care.
Your answer
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