Boarding Assessment Form

Boarding Assessment Form For Dogs

Please complete the assessment below to tell us about your dog. It is important to us that your dog feels comfortable in our facility and that we are prepared for their individual needs.
Your Name *

First Name Last Name
Email *
example@example.com
Cell Phone Number *

Area Code Phone Number
Patient Name *
Breed *
Age *
Sex *

Female - Intact Female - spayed Male - intact Male - neutered
Have you ever boarded or kenneled your dog? Where? For how long? Any Problems? *
Please describe any relevant medical problems or special care required while boarding.
Is your dog housetrained? Does your dog have accidents in the house? (urinating or defecating) *

YES NO Unknown
Does your dog jump fences when off-leash? *

YES NO Unknown
Is you dog destructive (toys, furniture, property) when left alone at home? *

YES NO Unknown
Does your dog have separation anxiety? *

YES NO Unknown
Does your dog sleep in your bed? *

YES NO Unknown
Is your dog afraid of loud noises or thunderstorms? *

YES NO Unknown
Is your dog protective of his/her house? *

YES NO Unknown
Is your dog protective of his/her yard? *

YES NO Unknown
Has your dog ever bitten a person? *

YES NO Unknown
If YES, please explain the circumstances
Has your dog ever bitten another dog? *

YES NO Unknown
If YES, please explain the circumstances
Does your dog socialize and play at a dog park? *

YES NO Unknown
Has your dog attend dog-daycare or play groups? *

YES NO Unknown
Does your dog tolerate being crated? *

YES NO Unknown
Does your dog have accidents in the crate? *

YES NO Unknown
Has your dog ever chewed / eaten bedding while crated? *

YES NO Unknown
Is your dog protective when people approach their food? *

YES NO Unknown
Is your dog protective when people try to take their toy away? *

YES NO Unknown
When home alone where does your dog stay?
Where does your dog sleep at night?
Are there any particular breeds or characteristics in other dogs that your dog reacts to or is afraid of?
Are there any particular characteristics in people that your dog reacts to or is afraid of?
Describe your dog's behavior when a familiar person visits your home: *

friendly & social shy growles barks snaps or bites hides never observed
Describe your dog's behavior when an unfamiliar person visits your home: *

friendly & social shy growles barks snaps or bites hides never observed
Describe your dog's behavior when another dog visits your home: *

friendly & social shy growles barks snaps or bites hides never observed
Describe your dog's behavior when children visit your home: *

friendly & social shy growles barks snaps or bites hides never observed
Is there anything else you would like for us to know?
Date Today

Month Day Year
Date
Should be Empty:

Boarding Assessment Form For Dogs