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Muddy Paws Dog Boarding and Obedience School
Grooming Questionnaire
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* Indicates required question
Owner Name
*
Your answer
Address (street, city, state, zip)
*
Your answer
Phone number
*
Your answer
Email address
*
Your answer
Pet name
*
Your answer
Pet's date of birth
*
MM
/
DD
/
YYYY
Type of pet
*
Dog
Cat
Weight
*
Your answer
Sex
*
Female
Male
Spayed/Neutered
*
Yes
No
Breed
*
Your answer
Color/markings
*
Your answer
Veterinarian name
*
Your answer
Veterinarian address (street, city, state, zip)
*
Your answer
Veterinarian phone number
*
Your answer
Veterinarian email address
Your answer
Has your pet been professionally groomed before?
*
Yes
No
Has the groomer identified any problem areas? (if applicable)
*
Your answer
Do you groom your pet at home (bathing, brushing, nail trims, teeth, ears, etc)?
*
Your answer
How often do you groom your pet at home?
*
Daily
Weekly
Monthly
Quarterly
As needed
N/A
Other:
Is your pet friendly toward people?
*
Yes
No
Has your pet shown ANY signs of aggression toward a person or other animal?
*
Yes
No
Describe the aggression (if applicable)
*
Your answer
Has your pet EVER bitten a person?
*
Yes
No
Describe the situation (if applicable)
*
Your answer
Does your pet have any sensitive areas?
*
Your answer
How does your pet react when these areas are touched? (if applicable)
*
Your answer
Is your pet's fur matted or tangled?
*
Yes
No
Please describe the areas (belly, back of legs, etc) matted and to what extent? (if applicable)
*
Your answer
Is your pet scared of the dryer?
*
Yes
No
Do you have a shampoo preference?
*
Deodorizing
Oatmeal
May we give your pet treats?
*
Yes
No
Is your pet comfortable in a crate?
*
Yes
No
Does your pet have any of the following medical conditions?
*
Blind
Deaf
Diabetic
Epilepsy/seizures
Heart condition
Skin allergies
Environmental allergies
Arthritis
Hip dysplasia
Chronic eye or ear infections
Tumors/warts/moles/skin tags
Musculoskeletal issues
None
Other:
Required
Does your pet have any of the following behavioral conditions?
*
Mouthiness (biting/nipping)
Excessive barking
Shy/nervous
High energy/hyper
None
Other:
Required
Is there anything else you feel we should know about your pet?
Your answer
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