Kessler Kennel Farms Evaluation Form

KESSLER KENNEL FARMS

EVALUATION FORM
Requirements

Please make sure your dog meets the following criteria before continuing with the evaluation form.
- Up-to-date on Rabies, Bordetella and Influenza (H3N2 or Bivalent strain)
- Has a current town license
- If your dog is a male, they must be neutered if they are eight months of age or older. Unspayed females are allowed on the farm regardless of age.
- Not over the age of ten years old.
- Can successfully socialize in bigger playgroups and be handled successfully by our staff team.
If your dog does not meet the criteria listed above, we unfortunately cannot move forward with the evaluation process. You are more than welcome to give us a call at the main office to provide you with alternative recommendations.

** All successfully submitted evaluation forms are reviewed within 24-48 hours. Please check your Spam folder if you do not see a response from us within this timetable. If not, please contact us via email at kesslerkennel@gmail.com **
What services are you interested?*

BoardingDaycareBoth
If you have boarding dates in mind, please list them below. This allows us to see if we can complete an evaluation prior to their arrival. All dogs must be evaluated at least one week prior to their first scheduled boarding date, and we will not book a reservation until an evaluation date is set.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Spouse Phone Number
Emergency Contact Number
E-mail*
example@example.com
Spouse Email
example@example.com
PET INFORMATION
Dog's Name*
Breed*
Age*
Weight*
How Old Was The Dog When You Acquired It?*
Gender*

Neutered MaleSpayed FemaleIntact MaleIntact Female
How Long Have Your Owned Dog?*
Where Does Your Dog Sleep At Night?
Is Your Dog House Trained?
Is Your Dog Crate Trained?
Does Your Dog Require Daily Medications? If So, please list:*
List Any Medical Problems Your Dog Has:*
Has your dog been to daycare before? If so, have they ever been dismissed & for what reason?:*
How large were their playgroup sizes?:*
What sizes were the other dogs? Small? Medium? Large?:*
What other daycares or boarding facilities has your dog attended?:*
Has your dog ever boarded in a kennel? If so, how frequent and what was their longest board?:*
HOW DOES YOUR DOG RESPOND TO THE FOLLOWING?
Patting Head?*
Grasp Collar?*
Being Leashed?*
Behavior Problems:*

Jumping UpChewingDiggingBarkingHowlingWhiningUrinatingStool EatingTail BitingTail ChasingStaringAggressionNone of the above
Has your dog ever bitten another dog or person? If so, please describe in detail:*
Can your dog climb fences? If so, how high and what type?:
Does your dog resource guard? (food, sticks, holes, rocks, people, other):
Does your dog eat foreign objects? (rocks, sticks, trash, other):
Does your dog dig holes?:*
Does Your Dog Exhibit Any Of The Following Behaviors, and Why?
Cowering
Ears Back
Tail Tucked
Retreating
Hiding
Excessive Salivating
Pacing
Please Give Additional Information Regarding Fear Or Anxiety In Your Dog:
Describe Situations Where Your Dog Appears Fearful And/Or Aggressive:
How Does Your Dog Respond To The Following Situations?
When Approached While Eating:*
When Dog Is Approached While Sleeping:*
To Strangers Outside Of The House:*
To People Entering House/Yard:*
To Other Dogs In Your Home:*
Describe your dog's playstyle:
Does your dog have a prey drive?:
Does your dog eat feces? (his own or others):
If you have a fence, is your dog reactive on the fence line?:
What does their exercise look like on a daily basis?:
What commands does your dog know? (sit, down, stay, come, etc):
If your dog has done training at a professional facility, where did you take them and what kind of training was it (i.e. group class, private sessions, board and train, etc.)
Should be Empty:

KESSLER KENNEL FARMS

Requirements

** All successfully submitted evaluation forms are reviewed within 24-48 hours. Please check your Spam folder if you do not see a response from us within this timetable. If not, please contact us via email at kesslerkennel@gmail.com **

PET INFORMATION

HOW DOES YOUR DOG RESPOND TO THE FOLLOWING?

All successfully submitted evaluation forms are reviewed within 24-48 hours. Please check your Spam folder if you do not see a response from us within this timetable. If not, please contact us via email at kesslerkennel@gmail.com