Dog Temperament Questionnaire Form

Bark n' Ride

Dog Shuttle Bus Service
Questionnaire
Fur Baby Name*

First NameLast Name
Age*
Breed
Color(s)
Approximate Weight*

7kg or less (Chihuahua size)7.1kg -15kg (Beagle size)15.1kg -25kg (Australian Cattle Dog size, Staffy)25.1kg -30kg (Border Collie, Australia Shepard size)30.1kg-35kg (German Shepherd size)35.1kg-50kg (Rottweiler size)51kg+ (Great Dane or St Bernard size)Other
Sex*

Male (desexed)Male (intact)Female (desexed)Female (intact)
Pawrent Full Name*
Pawrent Email*
Pawrent M/Phone*
Pawrent Alternate Contact*
Fur Baby Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which day you prefer your fur baby goes to Wookie? (Subject to availability)

TuesdayWednesdayThursdayFriday
Dog Related Questions
Temperament & Socialised (Multiple Choice)*

Sweet and socialFriendlyA little shy but warms up quicklyVery shyFearfulNervousHas previous bite historyFood drive. Will do anything for foodOther
How does this dog behave around men? (Multiple Choice)*

Loves menA little bit shy/scared of menVery afraid of menHas bite historyFear of men with cap/hat/glasses (please explain in the option box)Other
How does this dog behave around women? (Multiple Choice)*

Loves womenA little bit shy/scared of womenVery afraid of womenHas biter historyFear of women with cap/hat/glasses (please explain in the option box)Other
How does this dog behave around strange dogs?*

Runs up to them to playGreets appropriately (nose to tail sniffing)NervousReactivesubmissiveOther
Can this dog sharing a crate with family dog?*

YesNoPrefer to be alone
Leash/Collar Behaviour?*

Pulls strong on leash when excitedPulls a little on leashWalks nicely on leash unless is excitedComfortable when the collar being touchedUncomfortable when the collar being touched (please explain in the option box)Other
Crate training?*

Crate trainedNot crate trainedLearning crate trainingUnknownOther
Vehicle rides?*

Loves the car, rides great.Jumps right inJump right out as soon as door openNeeds help to get into car but likes to rideSeems unsure of getting into carFearful of the carDrools but does not vomit during ridesGets carsickSleeps during car ridesVery hyper in carVery nervous, pants and whinesOther
Any past or current health issue and food allergy? Please describe and include treatment given if any.*
Permission to Use Treats

YesNo
Any additional comments regarding temperament that haven't been covered by the questions above?*
Access to Premises Questions
We do not hold or take responsibility for clients' keys. In the event that your request is accepted, please provide details for access to the premises.
Please provide means of access

Lock Box (please provide code in the box below)Call for pick up (please provide mobile number to call)Unlock gateAny other (please provide details in the box below)
Please provide access details
Should be Empty:

Bark n' Ride

Questionnaire

Dog Related Questions

Access to Premises Questions