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New Dog Questionnaire
This form allows us to gather the most information we can about your dog right away, to ensure that we can provide the best individualized care for your dog during their stay. After submission, the completed form is sent to us via email, and we will add it to your pet's file.
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* Indicates required question
Email
*
Your email
Your Full Name
*
Your answer
Phone Number
*
Your answer
Physical/Mailing Address
*
Your answer
Emergency Contact Name & Phone Number
*
Your answer
Please provide your dog's regular veterinarian's information (clinic name, address, phone number).
*
Your answer
Your Dog's Name
*
Your answer
Male or Female
*
Male
Female
Spayed, Neutered, or Intact?
*
Spayed
Neutered
Intact
Age (estimated is fine)
*
Your answer
Date of Birth (if known)
MM
/
DD
/
YYYY
Weight
Your answer
Color
*
Your answer
Breed
*
Your answer
What type of food does your dog eat?
*
Your answer
Feeding Schedule (i.e. 1 cup AM and PM)
*
Your answer
Any Medications or Supplements?
Your answer
Any known allergies (food or environmental)? If yes, please explain.
*
Your answer
Any known health conditions (i.e. hip dysplasia, deafness, diabetes, etc.)? If yes, please explain.
*
Your answer
Any known behavioral challenges (i.e. food aggression, separation anxiety, handling, quirks, etc.)? If yes, please explain.
*
Your answer
Does your dog have any known fears (i.e. thunderstorms, loud noises, vacuum, new people, other dogs, etc.)? If yes, please explain.
*
Your answer
Is your dog okay with women AND men? If not, please explain.
*
Your answer
Has your dog ever bitten a person? If yes, please explain.
*
Your answer
Has your dog ever bitten another dog? If yes, please explain.
*
Your answer
Please describe your dog's play preferences with other dogs (check all that apply).
*
Does NOT get along with other dogs/dog-aggressive
Super dog-social, likes everyone
Very playful
Plays rough
Is vocal during play
Uninterested in other dogs but not aggressive
Reactive
Enjoys the company of calm dogs
Unknown/Unsure
Other:
Required
Do you give permission to take your dog on a LEASHED walk on our small, private trail in the woods?
*
Yes
No
Other:
Please use this section to tell us anything else you think we should know about your dog.
Your answer
Send me a copy of my responses.
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