Pet Personality Form - Lakewood Ranch

Pet Personality Form

Lakewood Ranch - (941) 755-3047
Owner Name*

First NameLast Name
E-mail*
1. Profiled Dog Information
Dog Name*
Dog Breed*
How long have you owned your dog? (years and months) *
Where did you get your dog? *

NewspaperBreederPet StoreAnimal ShelterAnimal RescueFriendStrayOther
If other, please describe
If adopted, what knowledge do you have of your dog's past history?
2. General Household Information
Total number of people living in your household: *
Number of adult men and of adult women: *
Male children, how many and age(s):
Female children, how many and age(s):
Other pets in the household. List breed, age, sex and if they are spayed or neutered
Do you have cats?*

YesNo
If yes, how many?
Health and Grooming
How often do you brush or comb your dog's coat? *
How does your dog react to having his/her nails clipped? *
Does your dog like to be brushed?*

YesNo
If no, what have you tried to make it more enjoyable?
Please describe your dog's flea/tick control and prevention program: *
Does your dog have any sensitive areas on his/her body? *

YesNo
If yes, where?
Does your dog have any allergies *

YesNo
If yes, please explain
Does your dog have any physical disabilities? *

YesNo
If yes, please explain disability and cause:
If yes, what restrictions need to be placed on your dog's activities or movements? *

No RunningNo JumpingNo hardplayNo contact with other dogsOther
If other, please explain:
Does your dog have any pre-existing medical conditions? *

YesNo
If yes, please explain
If yes, and medication is used to control the condition, provide name and dosage. *
Provide details about your dog's diet.
Where are your dog's favorite petting spots?*
How frequently is your dog walked outside? *
How long are your walks?*
Indicate from the following the overall level of exercise that best describes your dog's routine: *

Couch Potato: Spends days sleeping, occasional walks and/or playtime with humans or other dogs.Mild Exerciser: Spends days outdoors, short daily walks and/or regular playtime with humans or other dogs.Moderate Exerciser: Long or multiple walks daily and/or regular playtime with humans or dogsAthlete: Regular jogs/runs and/or regular participation in a dog sport activity such as agility, flyball, Frisbee, etc.
Behavior
Indicate from the following the level of dog socialization that best describes your dog's routine *

None: No knowledge of other dog interactionMinimal: On-lead encounters onlyModerate: Some off-lead playtime on occasion with visitor's/neighbor's/friend's dog(s)Extensive: Regular visits to dog social events, off-lead dog parks, dog daycare, etc
Does your dog like children? *

YesNo
How does your dog behave around children? *
How does your dog get along with other household animals? *
Do any visitors bring their dog(s) to your house? *

YesNo
If yes, how do they get along?
How does your dog react to a stranger coming into your home or yard? *
Does your dog ever bark or growl at anyone passing by outside your home or yard? *

YesNo
If yes, please explain:
Are there any particular types of people your dog seems to automatically fear or dislike?*
Are there any types and/or breeds of dogs your dog seems to automatically fear or dislike? *
How does your dog react to puppies? *
How does your dog react to another dog approaching it in a park or on a walk? (on-leash) *
How does your dog react to another dog approaching it in a park or on a walk? (off-leash) *
Does your dog play with other dogs? *

Males and FemalesMales onlyFemales onlyNeither
If yes, please describe size, breed and temperament of the other dogs.
What kinds of games does your dog play with other dogs? *
Has your dog ever shared his/her food or toys with other animals? *

YesNo
If yes, how does your dog react to another dog approaching his/her food or toys? *
Where does your dog sleep? *

Inside the houseOutside the houseInside/Outside-varies
If inside, in which room in the house does your dog sleep? *
Where in the room does your dog sleep? *

CrateOwner's bedDog Cushion/Bed on floorOther, please describe
If other, please describe
Has your dog ever jumped on someone? *

YesNo
If yes, what were the circumstances?
Has your dog ever growled at someone? *

YesNo
If yes, what were the circumstances and how did you respond?
Has your dog ever bitten someone? *

YesNo
If yes, what were the circumstances and how did you respond?
To the best of your knowledge, what does your dog do when you're not at home? *
How does your dog act when you get home at the end of the day? *
What does your dog do to show he/she is happy? *
Is your dog allowed on the furniture at home? *

YesNo
Has your dog ever climbed/jumped a fence? *

YesNo
If yes, what were the circumstances?
Is your dog frightened by thunderstorms? *

YesNo
If yes, describe typical behavior and what specifically helps your dog's fear.
Is your dog frightened by any other noises? *

YesNo
If yes, what noises?
Is your dog frightened of or nervous around anything else? *

YesNo
If yes, please explain.
Does your dog play with any toys? *

YesNo
If yes, what kinds of toys does your dog like?
Has your dog ever growled or snapped at anyone who has taken his/her food or toys away from him/her? *

YesNo
If yes, what were the circumstances and how did you respond?
Does your dog have any problems in any of the following areas? (check all that apply)*

MouthinessHousetrainingBarkingDiggingIgnoring commands
If you checked one or more, please explain.
Which commands does your dog know? (check all that apply)*

SitStayDownComeHeelRolloverKissesHigh FiveOther
If other, please describe
Does your dog know any tricks? *

YesNo
If yes, please describe.
What kind of collar do you use to walk your dog? *

BuckleNylon/Chain Sliding RingHarnessHead ColarProng/Pinch
Is it effective in keeping them under control?*

YesNo
Does your dog have a command to go to the bathroom?*

YesNo
If yes, what is the command?
Does your dog have a command to be quiet? *

YesNo
If yes, what is the command?
Does your dog respond to any commands on hand signal?*

YesNo
If yes, what is the command?
Do you know of any reason that your dog mi ght not like, or be able to use, agility equipment? *
Other comments or information about your dog that you feel might be helpful?
Pet Personality Form

Lakewood Ranch - (941) 755-3047
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