Date________________

Owner Information

Name_______________________________________________________

Address______________________________________________________

City_______________________________State________Zip Code________________________

Place of Employment/Occupation________________________________________________

Home Phone______________________________Cell Phone/Pager__________________________

Work Phone__________________________

Emergency Contact (other than self)

Name________________________________________________________________________

Phone_________________________________________

Pet Information

Name__________________________________Breed______________________________

Sex_____ Age____________ Weight_________________ 

Veterinarian

Name______________________________________________________________________

Address_____________________________________________________________________

Phone_______________________________________________________________________

Pet Personality Profile
General Information

How did you hear about Doggy Daycare & Spa^®?__________________________________________

Dog's Name:___________________________ Dog's birth date:___________________________

Dog's breed:________________________________Sex:________Age:__________________

How long have you owned your dog? _________________________________________________

Where did you get your dog?_____________________________________________________

If adopted, do you have knowledge of your dog's past history?_________

If yes, describe.________________________________________________________________

_____________________________________________________________________________

Number of people in your household?_________Adult males______Adult females__________

Male children/ages______________________ Female children/ages_____________________

Does your dog like children?______________

Describe how your dog behaves around children:______________________________________________________________________

Is your dog spayed/neutered? _______________If yes, what age was this done? __________________

List other animals in your household:

     Species                                        Breed                                        Altered?                     Age               Sex

___________________          _________________            __________             ________           ______

___________________          _________________            __________             ________           ______

___________________          _________________            __________             ________           ______

___________________          _________________            __________             ________           ______

Describe how your dog gets along with other animals in your household: ______________________

_________________________________________________________________________________

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Health and Grooming

Does your dog have a problem with fleas?_____________________________________________

Does your dog have hip dysplasia? ___________

If yes, what restrictions need to be placed on your dog's activities or movements

_________________________________________________________________________________

_________________________________________________________________________________

Does your dog have allergies?______________________________________________________________

Does your dog like to be brushed?_______________

If not, what have you tried to make brushing more enjoyable?_________________________

_________________________________________________________________________________

How often do you brush or comb your dog's coat?___________________________________________

What kind of brush and or comb do you use?_______________________________________________

How does your dog react to having his/her nails clipped?_______________________________

_________________________________________________________________________________

Does your dog have any sensitive areas on his/her body?_______________________________

_________________________________________________________________________________

Where are your dog's favorite petting spots?________________________________________

_________________________________________________________________________________

Behavior

Do visitors bring their dog(s) to your home?________ If yes, how does your dog react?_________________________________________________

_____________________________________________________________________

How does your dog react to a stranger coming into your home or yard?____________________________________________________________

______________________________________________________________________

Does your dog ever bark or growl at anyone passing outside your home or yard?_________________________________________________________

Are there any kinds of people your dog automatically fears or dislikes?__________________________________________

_______________________________________________________________________

Are there any kinds of dogs your dog automatically fears or dislikes?___________________________________________

________________________________________________________________________

How does your dog react to puppies?_________________________________________________________________

What does your dog do when you are not at home?___________________________________________________________________

How does your dog act when you get home at the end of the day?_____________________________________________________________________


What does your dog do to show he/she is happy?__________________________________________________________

__________________________________________________________________________

How does your dog react to other dogs approaching it when you are out on a walk?

          A.  On lead___________________________________________________________________________

          B.  Off lead__________________________________________________________________________

How many times per week is your dog walked outside?______________________________________________________

How long are your walks?_______________________________________________________________________

Has your dog ever jumped on someone?______

What were the circumstances?_________________________________________

____________________________________________________________________________

Has your dog ever growled at someone?________

What were the circumstances?_________________________________________

____________________________________________________________________________

Has your dog ever bitten someone?_______

What were the circumstances?_________________________________________

____________________________________________________________________________

Has your dog ever climbed or jumped over a fence?_______How high was it?________________

Does your dog have any problems in the following areas?  If yes, describe:

Mouthiness_______________________________________________________________________

Housetraining_____________________________________________________________________

Barking__________________________________________________________________________

Digging__________________________________________________________________________

Ignoring commands_________________________________________________________________

Is your dog frightened by any noises?__________________________________________________________________________

Is your dog frightened or nervous around anything else?____________________________________________________________________________

Has your dog ever growled or snapped at anyone taking food or toys away? ________________________________________________________________________________

Has your dog ever shared his/her food or toys with other animals? ________________________________________________________________________________

Does your dog play with any toys?__________If yes, what kind of toys does your dog like and what

 ________________________________________________________________________________

Games does he/she play with the toys?____________________________________________________________________________

Does your dog play with other dogs?_________What kind of dogs does your dog like to play with?_________________________________

________________________________________________________________________________

Does your dog prefer to play with male or female dogs?___________________________________________________________________________

What kind of games does your dog play with other dogs?___________________________________________________________________________

________________________________________________________________________________

What kind of games does your dog play with people?_______________________________________________________

________________________________________________________________________________

Does your dog know any tricks?___________________________________________________________________________

Has your dog ever been on agility equipment?_______________________________________________________________________

Has your dog ever had any formal obedience training?__________If yes, when and where?________________________

________________________________________________________________________________

What commands does your dog know?___________________________________________________________________________

________________________________________________________________________________

Do you walk your dog on your left or right side?____________________________________________________________________________

What kind of collar do you use when you walk your dog?____________________________________________________________________________

Is iteffective in keeping him/her under control?__________________________________________________________________________

Does your dog know any hand commands?_______________________________________________________________________

Does your dog have a bathroom command?________________________________________________________________________

Does your dog have any play commands?_______________________________________________________________________

Does your dog have a quiet command?________________________________________________________________________

 Other comments or information about your dog that you feel might be helpful:

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