Survey Form

General Dog’s Owner Survey

Please provide information about your dog and your day to day living with them. All information is confidential and will be used to gather general information for my dog business in hopes to help provide services, enrichment and to better serve current and future pet owners and their dogs.
What is your dog’s breed and activity level*
Is this your first dog*

YesNo
Is your dog from a rescue?*

YesNo
What is the current age of your dog?

MonthDayYear
When did your dog become apart of your family?

MonthDayYear
If yes, why did you get a dog? (Personal comfort, family member, therapy purposes, service work, protection, other please list) *

Please choose the word that best describes each line.

	No Interest	Hates it	Ok 50/50	LOVES it!	(Doesn't apply to me)
Sleep on a dog bed or special blanket
Enjoy playing ball
Going on walks
Going on hikes
Interacting with other dogs/ special dog friends
Running
Playing in water
Car rides
Alone time
Being around people
Treats
Food
Grooming
Bows, clips or Bandanas
Nail trims
Baths
Require Constant attention “Velcro dog”
Going to the vet
Playing with stuffy/squeak toys
Climbing
Digging
Hiding
Loud noises
Changes & Transitions
Chewing
Tugging

What was the best part of owning a dog? Please list all your DOG’S STRENGTHS and anything positive YOU love to do with them.
Please list all your DOGS NEEDS and CHALLENGES and if comfortable sharing any information or what limits YOU on being able to provide more enrichment for your dog on a daily/monthly basis. (Examples- Walks, hikes, in home visits, social groups, training, grooming)
Your dog’s favourite food? Check all that apply.*

Kibble/DryWet/CanRawHomemadeBonesHard treatsSoft TreatsHuman FoodOther
Your dog’s favourite toy? Check all that apply.*

Hard BallSoft BallStuffy’sSqueak toySticksHard Chew Dog BonesTug ToysTreat BallsAnything toy relatedOther
Any medical concerns? (Allergies, health, etc.. )

YesNo
If yes, Please explain.
Any sensitivity to anything? (Food, environment, shampoos)

YesNo
If yes, Please explain.
Do you celebrate any special holidays, traditions or events with your dog? Exp. Their Birthday, Christmas, Easter, Halloween, Gotcha Day. If Yes please list/describe your traditions.
Does a monthly puppy / dog membership interest you?*

YesNo
If YES, Please list what services you would be interested in to best meet you and your dogs needs. Examples … Grooming, social, seniors, social, walking etc*
If NO, please explain why? (Financial, transportation, times/schedule conflicts)*
If this section doesn’t apply just write N/A
Please submit any further comments, suggestions or feedback below.
Please provide your email address and telephone number if you would like me to contact you regarding any questions on this survey.
Name:
E-mail Address
Phone Number
Thank you for completing my survey. I truly appreciate your time and information in helping other families provide quality and enrichment in their dog's lives.
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General Dog’s Owner Survey