New Client Questionnaire

1
Contact InformationThis is used to set up your meet and greet, we will not spam you.
Your first and last name
Your email address
Your address (mandatory for me to check my route)
Your phone number
2
Desired Service DaysPlease indicate how many days a week you’d like your pup to attend and if you have any days in mind!
Monday
Tuesday
Wednesday
Thursday
Other
3
When will services begin and end?When would you like your pup to start? Do you have an end date in mind? Please note pack play is only available on a recurring basis. For pup’s stability we do not offer short term attendance.
4
Did a friend refer you?Please let us know who so we can thank them!
5
The Basics* This field is required.All about your pet
Name
Breed
Please Select
Please Select
Intact female
Spayed female
Intact male
Neutered male
Sex
Age
Weight
Please Select
Please Select
Yes
No
Recently adopted?
Chronic health conditions or injuries?
6
What does your dog think of humans?* This field is required.
My dog thinks humans are the best thing ever
My dog loves humans but needs to warm up
My dog is very nervous or shy with new people
7
Behavior Questions* This field is required.
Please Select
Please Select
Yes
No
Unknown
Is your dog food or toy aggressive with other animals or people?
Please Select
Please Select
No
Unknown, we don’t have a yard
Yes
Does your dog try to escape the yard?
Please Select
Please Select
All of the time
Most of the time
Half the time
When they feel like it
When I have treats
Hardly ever
How often does your dog listen to commands?
Please Select
Please Select
No
Yes
Unknown
Has your dog ever bitten a human or animal?
8
Behavioral Challenges* This field is required.Things that stress your pet out a lot or elicit undesirable responses - check all that apply
NONE OF THE BELOW
Being picked up
Collar or harness being grasped (gently)
Dogs in general or a specific type
Being left alone
Strangers
Vacuums/mops/brooms
Being leashed
Car rides
Other
9
Behavior Questions* This field is required.Behaviors your pet displays - check all that apply
NONE OF THE BELOW
Barking excessively while playing
Hyperactivity / Over-excitement
Play biting
Digging
Poor recall - runs away
Separation anxiety / clinginess
Jumping baby gates or fences
Guarding humans / toys / or food
Humping or dominate posturing
Other
10
Dog Socialization * This field is required.
Please Select
Please Select
Yes
No
It depends
Unknown
Does your dog enjoy the company of dogs?
Please Select
Please Select
Yes
No
Has your dog ever been to doggy daycare?
Please Select
Please Select
Yes, often
Yes, but it has been a while
No
Do you take your dog to a dog park?
Please Select
Please Select
A lot
A little
Very little
Not at all
Unknown
My dog has been socialized with dogs...
11
Additional InformationUse this space to ask questions, tell us about your pet, or describe what your needs are! Please also tell us how many pets are in your home.
Huge
Large
Normal
Small
Ok
Ok
12
When can we meet you?Please pick a date as early as next week! We care for pets full time so early morning and late afternoon appointments work best if possible.
Date
Year
Month
Day
13
Now what?

I will reach out soon to say hello and schedule a meet and greet! One thing I love about being an animal caregiver is that pets are family and families are SO unique. It is such an honor to provide our clients with the truly customized services that they deserve. Thank you for getting to know us and for telling us about you, we are greatful that you have considered Pack Pals to care for your furry family member. If we are not the right fit for you we will provide you with a wonderful recommendation to another pet care provider. Looking forward to chatting with you, tell your pet that Pack Pals says hello!

Warm Regards,

Abagail Giordano

Owner/Operator
14
Schedule
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