Clara Barton Doggy Daycare | Edison, NJ
Dog Temperament Questionnaire
Please note: This form is required to be filled out before we schedule a Meet and Greet.
Owner's Name (Primary)
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First Name
Last Name
Second Owner's Name (Secondary)
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First Name
Last Name
Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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-
Area Code
Phone Number
Today's Date
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Month
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Day
Year
Date Picker Icon
Dog's Name
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Breed
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Color(s)
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Health?
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Sick
Injured
Obviously Pregnant
Possibly Pregnant
Healthy/appears healthy
Other
Approximate age (We only accept adult dogs)
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2-3 years (may have slight tarter especially on back teeth)
3-6 years (has tartar on teeth)
6-9 years (teeth look somewhat worn)
9+ years (graying on face/muzzle, teeth worn, may have lots of tartar)
Approximate Weight
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15 lb or less (Chihuahua size)
16-30 lb (Beagle size)
30-45 lb (Australian Cattle Dog size)
45 lb-65 lb (Springer Spaniel, Keeshond or Pointer size)
65-80 lb (German Shepherd size)
80-115 lb (Rottweiler size)
116+ lb (Great Dane or St Bernard size)
Other
Socialization
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Sweet and social
A little shy but warms up when you're nice
Very shy
Probably feral
Definitely feral
Definitely abused
Fear biter
Other
How does this dog behave around men?
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Loves men
A little bit shy/scared of men
Very afraid of men
Possibly abused by a man in the past
Fear biter around men
Other
How does this dog behave around women?
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Loves women
A little bit shy/scared of women
Very afraid of women
Possibly abused by a woman in the past
Fear biter around women
Other
How does this dog behave around strange dogs?
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Runs up to them to play
Greets appropriately (nose to tail sniffing)
Stares the other dog down and may stiffen muscles
Seems submissive or scared of other dogs
Will show the other dog their side or back end
Turns head away when the other dog stares at it
No sense of personal space, just gallops up to the other dog and expects the other dog to be fine with that
Other
How does this dog behave around other dogs and high value food, treats or toys? Check all that apply:
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Lets the other dog take it.
Posture is relaxed, no muscles tensed.
Stares the other dog down.
Muscles tense when other dog approaches.
Head goes down over the food/toy as other dog approaches.
Gobbles the food faster.
Growls at the other dog.
Bares teeth at the other dog.
Snaps/snarls at the other dog, clearly guarding the food/toy.
As other dog approaches, this dog backs away from the food bowl.
Seems very carefree and unconcerned about holding onto food or toys when other dogs are around.
Has not been tested around other dogs
Other
Housebreaking training? (Must be housebroken and crate trained)
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Not housebroken at all
Crate trained
Marks indoors
Partially housebroken, but doesn't know how to tell you when needs to go outside
Solidly housebroken, will bark or pace or scratch door to go outside
Can hold it overnight even if not crated
Learning crate training
Unknown
New arrival. Just started training.
Other
Any additional comments regarding temperament that haven't been covered by the questions above?
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Any past or current health issues or special needs?
*
Signature
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