Pre-Eval Form for Dan's Pet Care New Facility
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Are you an existing Dan's Pet Care client?
*
Yes
No
How did you hear about us?
*
Facebook
Instagram
TikTok
Google
Bing
Car Wraps
Local Vet
Friends & Family
Other
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Next
Your Needs
When would you like to start daycare for your dog?
*
ASAP!
Next few weeks
Next few months
Just looking!
When would you like to start with cage-free boarding?
*
ASAP!
Next few weeks
Next few months
Just looking!
When would you like to start with our grooming services?
*
The First Day You Open!
Within a few weeks of opening!
Within the next few months!
Just looking!
Are you interested in signing up for a monthly subscription for an additional discount?
*
Yes
No
Select any additional services you're interested in
*
Grooming services
Group training classes
Pet taxi
Hourly pet-sitting
Cage Free Boarding
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Dog Info
How many dogs do you have
*
Please Select
1
2
3
4+
Dog name(s), Ages and Breed
*
How often would your dog(s) be coming to daycare?
*
Please Select
Daily
A Few Times per Week
A Few Times per Month
As Needed
Has your dog ever been to daycare before?
*
Yes
No
If yes would you be willing to use them as a reference?
Yes
No
If yes, what is the name and number of the daycare
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Veterinary Information
Animal Hospital Name
*
Vet's Name
First Name
Last Name
Address
Phone Number
Please enter a valid phone number.
Email
example@example.com
Select all vaccines your dog is up to date on:
*
Rabies
DHPP or Distemper
Bordatella
Canine Influenza
Lyme
Leptospirosis
Does your dog have any known allergies or medical conditions?
*
Yes
No
If yes please elaborate
Is the dog neutered or spayed?
*
Yes
No
Do they have any physical limitations or require any medications during their stay?
*
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Your Dog's Behaviors
What is the dog's typical activity level?
*
Please Select
Sedentary: Prefers lounging and short walks.
Low: Enjoys casual walks but isn't overly energetic.
Moderate: Active and enjoys regular play sessions and walks.
High: Always on the move, requires multiple play sessions daily.
Very High: Extremely energetic, requires extensive play and exercise daily.
How does your dog generally react to other dogs?
*
Very friendly
Excited for a minute then disinterested
Disinterested
Nervous
Aggressive
Does your dog ever lunge or bark at other dogs while on leash?
*
Yes
No
I'm not sure
Does your dog ever bark or lunge when fenced in or behind a door?
*
Yes
No
I'm not sure
Does your dog ever act protective over their food, toys, or other items?
*
Yes
No
I'm not sure
Are there any specific triggers or behaviors that staff should be aware of (e.g., food aggression, toy possessiveness)?
*
How does your dog react to new environments?
*
Please Select
Friendly: Approaches with a wagging tail and enthusiasm.
Cautious: Observes first, may approach slowly or remain distant.
Indifferent: Ignores or shows little interest in unfamiliar people.
Timid: Avoids or hides from strangers.
Reactive: Barks, growls, or displays defensive behavior towards unfamiliar people.
How does your dog react to strangers?
*
Please Select
Friendly: Approaches with a wagging tail and enthusiasm.
Cautious: Observes first, may approach slowly or remain distant.
Indifferent: Ignores or shows little interest in unfamiliar people.
Timid: Avoids or hides from strangers.
Reactive: Barks, growls, or displays defensive behavior towards unfamiliar people.
Has the dog ever shown aggression towards humans or other dogs?
*
Yes
No
If yes, please elaborate
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Your Dog's Home Life
Where does your dog sleep?
*
Is your dog crate trained?
*
Yes
No
How often does your dog leave home?
*
They don't leave the house
They leave the house for just walks
They come with me from time to time
They come with me everywhere
Where does your dog frequently visit most outside of the home?
*
Are they reactive to loud noises (thunder storms, motorcycles, etc.) ?
*
Yes
No
What training commands are they familiar with?
*
Submit
Your Dogs Health and Wellness
Do you agree to provide updated vaccine records from your veterinarian?
*
Yes
No
Is the dog on flea, tick, and heartworm prevention?
*
Yes
No
When was your dog's last treatment for flea, tick, and heartworm prevention?
*
-
Month
-
Day
Year
Date
How many times a day does the dog typically get walked or require potty breaks?
*
Are there any activities the dog particularly enjoys or dislikes?
*
Should be Empty: