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 NameLast Name
Email*
example@example.com
Cell Phone Number*

Area CodePhone Number
Patient Name*
Breed*
Age*
Sex*

Female - IntactFemale - spayedMale - intactMale - 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)*

YESNOUnknown
Does your dog jump fences when off-leash?*

YESNOUnknown
Is you dog destructive (toys, furniture, property) when left alone at home?*

YESNOUnknown
Does your dog have separation anxiety?*

YESNOUnknown
Does your dog sleep in your bed?*

YESNOUnknown
Is your dog afraid of loud noises or thunderstorms?*

YESNOUnknown
Is your dog protective of his/her house?*

YESNOUnknown
Is your dog protective of his/her yard?*

YESNOUnknown
Has your dog ever bitten a person?*

YESNOUnknown
If YES, please explain the circumstances
Has your dog ever bitten another dog?*

YESNOUnknown
If YES, please explain the circumstances
Does your dog socialize and play at a dog park?*

YESNOUnknown
Has your dog attend dog-daycare or play groups?*

YESNOUnknown
Does your dog tolerate being crated?*

YESNOUnknown
Does your dog have accidents in the crate?*

YESNOUnknown
Has your dog ever chewed / eaten bedding while crated?*

YESNOUnknown
Is your dog protective when people approach their food?*

YESNOUnknown
Is your dog protective when people try to take their toy away?*

YESNOUnknown
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 & socialshygrowlesbarkssnaps or biteshidesnever observed
Describe your dog's behavior when an unfamiliar person visits your home:*

friendly & socialshygrowlesbarkssnaps or biteshidesnever observed
Describe your dog's behavior when another dog visits your home:*

friendly & socialshygrowlesbarkssnaps or biteshidesnever observed
Describe your dog's behavior when children visit your home:*

friendly & socialshygrowlesbarkssnaps or biteshidesnever observed
Is there anything else you would like for us to know?
Date Today

MonthDayYear
Date
Should be Empty:

Boarding Assessment Form For Dogs