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Carlson Acres Grooming : Current Grooming Customer Request
Please complete this questionnaire if your pet has been groomed by us.
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* Indicates required question
Owner Information
Name
*
Your answer
Email Address
*
Your answer
Phone #1
*
Your answer
Phone #2
Your answer
Pet Information
Pet #1: Name
*
Your answer
Pet #1: Grooming Behavioral Issues
*
Scared of the blow dryer
Does not like nails or feet being handled
Anxious
Aggressive
Has a history of biting, or trying to bite for any portion of the grooming process
None to my knowledge
Required
Pet #1: Health Issues
*
Seizures
Diabetes
Heart Condition
Joint/Hop Issues
Allergies/Skin Condition
None to my knowledge
Required
Pet #1: Medications? Input NA if your pet is not on any medications
*
Your answer
Pet #1: Injuries or surgeries? Input NA if none
*
Your answer
Pet #1: Other information about your pet that we may find helpful in grooming your pet.
Your answer
Pet #1: Type of service(s) requested
*
Full Groom
Tidy-Up Groom
Defurminating + Bath, Blow Dry
Bath, Blow Dry, Brush Out
Nail Trim
Required
Pet #1: I confirm that my pet is up to date on their vaccines including:
DA2PL-Parvo
Bordetella (Kennel Cough) vaccines annually
Rabies every 1-3 years
Please bring proof of this from your vet
*
Yes, my pet is up to date
No, my pet is not up to date
Pet #2: Name
*
Your answer
Pet #2: Grooming Behavioral Issues
Scared of the blow dryer
Does not like nails or feet being handled
Anxious
Aggressive
Has a history of biting, or trying to bite for any portion of the grooming process
None to my knowledge
Pet #2: Health Issues
*
Seizures
Diabetes
Heart Condition
Joint/Hop Issues
Allergies/Skin Condition
None to my knowledge
Required
Pet #2: Medications? Input NA if your pet is not on any medications
Your answer
Pet #2: Injuries or surgeries? Input NA if none
Your answer
Pet #2: Other information about your pet that we may find helpful in grooming your pet.
*
Your answer
Pet #2: Type of service(s) requested
*
Full Groom
Tidy-Up Groom
Defurminating + Bath, Blow Dry
Bath, Blow Dry, Brush Out
Nail Trim
Required
Pet #2: I confirm that my pet is up to date on their vaccines including:
DA2PL-Parvo
Bordetella (Kennel Cough) vaccines annually
Rabies every 1-3 years
Please bring proof of this from your vet
Yes, my pet is up to date
No, my pet is not up to date
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*NOTICE* All dogs must be up to date on their vaccines
DA2PL-Parvo, Bordetella (Kennel Cough) vaccines annually
Rabies every 1-3 years
Please bring proof of this from your vet
Without this, we cannot groom the pups
Carlson Acres Grooming will contact you at listed above phone number to schedule appointment.
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