Doggie Daycare Questionnaire

Doggie Daycare Questionnaire

For the safety and comfort of your dog, please answer all required questions below. After reviewing the questionnaire, our trainer will contact you to schedule an interview.
OWNER INFORMATION
Owner's Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Address*
City*
State*
Zip Code*
DOG INFORMATION
Dog's Name*
Dog's Date of Birth*

MonthDayYear
Date
Breed*
Dog's Weight*
lbs
Sex*
DOG HEALTH
Is your dog altered (spayed/neutered)?*
Has your dog had a season and how often does she come in heat?
Is your dog currently on any medications? Please list. *
Any known allergies? Please list. *
Any medical conditions we should be aware of? *
Please explain. *
DOG BEHAVIOR
Is your dog destructive? (chew beds, toys, etc)*
If necessary, please explain.
How your dog ever jumped a fence or wall?*
On a scale of 1 to 5, how dominant or submissive is your dog? *

1

2

3

4

5

1 is Submissive, 5 is Dominant
Has your dog ever interacted with another dog? *
DOG-DOG INTERACTIONS
How does your dog interact with bigger dogs?*
How does your dog interact with smaller dogs?*
Does your dog play rough or gentle? *
How does your dog interact with same sex or opposite sex dogs? *
Does your dog interact differently with certain types of dogs (hairy, small, black dogs, etc)?*
Has your dog ever growled or grumbled at another dog? *
Please explain. *
Has your dog ever bit, bit at, or gotten into a fight with another dog? *
Please explain.*
DOG-HUMAN INTERACTIONS
Has your dog ever growled or grumbled at a person? *
Please explain.*
Has your dog ever bitten or bit at a person? *
Please explain.*
How did you hear about us?
Is there any additional information you think would be helpful to know?
Should be Empty:

Doggie Daycare Questionnaire

OWNER INFORMATION

DOG INFORMATION

DOG HEALTH

DOG BEHAVIOR

DOG-DOG INTERACTIONS

DOG-HUMAN INTERACTIONS