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Client & Pet(s) Intake Sheet
Welcome to Bells & Spikes Pet Sitting Services! We're so excited to meet your furry friend and provide the best care possible. Please take a moment to fill out this quick form to help us get to know your pet's needs, routines, quirks, and favorite things. We're here to keep them happy, comfy, and loved while you're away. If something doesn't apply, just mark "N/A". We can't wait to welcome your pet into our care and treat them like family!
Human Client Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
What Pet Sitting Services are you interested in / requested?
Are you (or your spouse) any of the following?
Please Select
Military
Teacher
First Responder
N/A
It has become necessary to request proof of status in order to qualify for this discount. THANK YOU FOR YOUR SERVICE!!!
How Many Pets?
How did you hear about Bells & Spikes Pet Sitting?
*
Please Select
Instagram
The Landsby / Mom's Night Out / Tricia
Zoomin Groomin VB
Facebook
Website
Google
CityVet- Redmill & Lynnhaven
Nextdoor
*Courtney Sub*
Current Client
Referral - PLEASE SHARE WHO ❤️
Whom can we thank for referring you?
*
Does your home have stairs (indoors/outdoors)? If so, how many levels, etc?
*
Do you follow us on Instagram?
Please Select
Yes! Can't wait to see my furry baby in the spotlight!
No
N/A
@bellsandspikespetsitting
Have you registered in the Bells & Spikes Client Portal?
*
Please Select
Yes
No
Will do - REQUIRED
*REQUIRED* ALL SCHEDULING AND INVOICING IS DONE VIA CLIENT PORTAL
HERE IS THE LINK FOR THE CLIENT PORTAL
Copy/Paste Link: https://1022bellsandspikes.petsoftware.net/clientportal/login?action=signup
MEET & GREETS Related....all meets are done by owner, Shirley. IF you would like to meet the assigned sitter to your services AS WELL...Please Select
*
Please Select
Yes - I want to meet assigned sitter along with the Owner
No - I am ok with Owner Meet & Greet only
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Pet 1: Name / Sex / Breed / Date of Birth / Weight - PLEASE LIST ALL
*
Pet 1: Small Pups: Is your pet comfortable being picked up/paws touched?
Pet 1: Larger Pups: Is your pet comfortable with paws being touched?
Pet 1: Spayed / Neutered
*
Pet 1: FLEA / TICK PREVENTION USED: Provide: LAST GIVEN/NEXT DUE and FREQUENCY GIVEN
*
IF YOUR PET HAS FLEAS, THERE WILL BE A FEE ACCESSED
Pet 1: Spayed/Neutered?
*
Yes
No
Pet 1: Potty Trained
*
Yes
No
Has Accidents - let's dicsuss
Pet 1: Micro Chipped?
*
Yes
No
Pet 1 Picture
*
Browse Files
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Choose a file
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of
Pet 1 Vaccinations Records REQUIRED FOR BOARDING - YOU CAN EMAIL TO BELLSANDSPIKES@GMAIL.COM IF NEEDED
*
Browse Files
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Pet 1 FLEA TREATMENT Records --- REQUIRED FOR BOARDING - YOU CAN EMAIL TO BELLSANDSPIKES@GMAIL.COM IF NEEDED
*
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Choose a file
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of
Pet 2: Name / Sex / Breed / Date of Birth / Weight
ENTER N/A IF NO 2ND PET
Pet 2 Picture
Browse Files
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Choose a file
Cancel
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Pet 2 Vaccinations Records - REQUIRED
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Pet 2 FLEA TREATMENT VET DATA - REQUIRED
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Pet 2: Spayed/Neutered?
Yes
No
Pet 2: Potty Trained
Yes
No
Let's Discuss
Pet 3: Name / Sex / Breed / Date of Birth / Weight
ENTER N/A IF NO 3RD PET
Pet 3 Picture
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Pet 3 Vaccinations Records
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Pet 3 FLEA TREATMENT VET DATA - REQUIRED
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Pet 3: FLEA / TICK PREVENTION USED: LAST GIVEN/NEXT DUE AND FREQUENCY GIVEN
*
IF YOUR PET HAS FLEAS, THERE WILL BE FEE(S) ACCESSED
Pet 3: Spayed/Neutered?
Yes
No
Pet 3: Potty Trained
Yes
No
Has Accidents - let's dicsuss
Client Update Preferences: Texts & Photos
*
Please Select
After EVERY visit
Morning time ONLY
Evening time ONLY
Afternoon ONLY
Morning & Evening Updates
Please advise if any vehicles or individuals will be present or accessing the home during the anticipated times of care while your pet sitter is on site. For everyone’s safety, we will not enter a home if someone is inside who has not been previously disclosed to us.
*
Please Select
Policy acknowledged
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Client Home: Shoes On / Shoes Off:
Client Home: Alarm System:
If applicable, confirm how to disarm/re-arm and any time limits
Client Home - Sitter Parking Preference
Street parking or Driveway
If a Key, please specify final visit diretions on where to leave key
A key, door code, etc.
Lights, Thermostat & General House Rules: Anything you want us to leave on, adjust, or know about? Tell us!
*WE DON'T DO DOG PARKS* Is your pup comfortable going on walks in low crowded parks / Park Trails / Farmers markets / Breweries / Dog Ice cream shops, etc.
Please Select
Yes!
No
Neighborhood walks only
*FOR OVERNIGHT CARE IN YOUR HOME ONLY*
Wash / Fold linens & towels?
OVERNIGHT CARE IN CLIENT HOME: Sitter Sleeping & Bathroom Arrangements
Will pet sitter have a bedroom/bath for personal use?
*FOR OVERNIGHT CARE IN YOUR HOME ONLY*
Where are cleaning supplies located? Any Cleaning directions
*FOR OVERNIGHT CARE IN YOUR HOME ONLY*
WIFI PLEASE
*FOR OVERNIGHT CARE IN YOUR HOME ONLY*
CHECK MAIL
*FOR OVERNIGHT CARE IN YOUR HOME ONLY*
EXTRA LINENS LOCATION / RAIN TOWELS FOR PET(S) USE IN CASE OF RAIN
*FOR CARE IN YOUR HOME ONLY*
Doors remain open / closed? No Access areas? Etc.
What is your Trash Day?
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Does your pup jump the fence?
Please share any Medical conditions to be aware of
Please share any known allergies
Food, weather, etc.
Does your pet receive medications? No need to include monthly preventative medications
Please provide details / info / location / frequency/ dosage / etc.
Where does pet sleep at home?
Dog Bed, Our Bed, Sofa, etc.
Please describe your pet(s) riding experience in a car
Escape Artists?
Please Select
Yes
No
Working on it
Trouble walking / will bolt out a door / jumps fences, etc.
Excessive Barking / Howling/ Barking Triggers
Dog(s) Kennel Trained?
Please Select
Yes!
No!
Working on it
Is you pet crated or placed in a restricted area when no one is home?
Please let us know of any fears
Rain , thunder, loud noises, broom, vacuum, etc.
In your home, hiding spots?
Under sofa, bed, etc.
Does your pet have any ongoing or reoccurring known illnesses and/or injuries? Is your pet undergoing any medical treatments?
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Pet(s) comfortable around younger children & males?
Pet(s) get along with other pets? Playful / Fearful, etc.
Does your pet require a walk at our visit(s)?
Please Select
No, fenced yard only
Yes, am only
Yes, pm only
Yes, every visit
Let's discuss
Please indicate your pet's walking route
Please indicate if we need to avoid specific houses or areas while walking
Where should we dispose of all pet waste?
Litter or poop bags
In your home, Where do you keep your pet's leash and/or collar?
In your home, where is Cat Litter located that needs to be cleaned?
Does your pet require any of the following when eating? Check all that apply.
N/A
Supervise while eating
Feed seperate
Please share any aggressiveness
Food / Toy aggression
Please let us know what games and or activities your pet likes to play and/or do
Please list the commands and words your pet knows, should know, or ones that you would like them to know
Feedings ------- Please be as detailed as possible.Feeding Times - Portion sizes - Frequency -- Food location, etc.
Feedings - where do pets eat?
Kitchen / outside / patio, together, separate, etc.
Please provide pet(s) DAILY SCHEDULE
Kitchen / outside / patio, together, separate, etc.
Feedings in your home - Location of food / water bowls?
Kitchen / outside / patio, together, separate, etc.
Does the pet have a routine to follow before eating?
Please speficy the type of water your provide for your pet
Please Select
Tap
Sink
Fridge
Bottled
ANY
PLEASE BE SURE TO INDICATE WHERE TREATS CAN BE FOUND
Treats Allowed?
Please Select
Yes - only those provided
No
Yes - ANY!
PLEASE BE SURE TO INDICATE WHERE TREATS CAN BE FOUND
Where are food and treats located in your home for pet(s)?
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Veterinary Care Info for Emergencies
Name, Address, & Phone Number
Local contact for Emergencies
Name, relationship & Phone Number
Additional Information / EXTRA LUV NOTES
Any other important details we should know about.Please feel free to send any additional instructions or documents that may assist us in providing the best care for your pet.
By signing digitally signing below, I acknowledge that the information provided is accurate and that I have read and understood the terms and conditions of Bells & Spikes Pet Sitting Services. Please sign your Name
By signing below, you acknowledge the below:
All services require a FULL day notice of cancellation. If you cancel your services within this window, you will be charged 50% of the services requested. (For example, if your services are on Tuesday, and you cancel on Monday, you will be charged.) - If there is an emergency, we will work with you on a case-by-case basis. - All clients with multiple visits/Overnights/Boarding, are required to pay a 25% deposit due when services are confirmed, or your services will be canceled, and include a credit card ON FILE. (For example, if you have a string of services [regardless of what kind] for multiple days [M,T,W,T,F, etc], you are required to pay a deposit.) * ALL CLIENTS: Your quotes and invoices are available on your client portal AT ALL TIMES. It is your responsibility to view your invoicing/quotes and ask questions before services begin. Prices will not be reduced if you fail to review your invoices, and associated fees upon completion of services.
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