The Bark BarnYour Dog's Personality Profile
Owner Information
Owner Name:
Address:
Primary Phone:
Format: (000) 000-0000.
Secondary Phone:
Format: (000) 000-0000.
Email:
example@example.com
Emergency Contact
Name:
Relationship:
Phone:
Format: (000) 000-0000.
Veterinary Information
Clinic:
Veterinarian:
Phone:
Format: (000) 000-0000.
Dog Information
Dog's Name:
Breed:
Color:
Date of Birth:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Sex: Male (Neutered/Intact) Female (Spayed/Intact)
Weight:
Health Summary
Medical conditions:
Medications:
Food allergies:
Other allergies:
History of seizures?
Yes
No
Previous surgeries?
Yes
No
Comfort & Routine
Where does your dog sleep? Crate / Bed / Couch / Owner's Bed / Other
Crate
Bed
Couch
Owner's Bed
Other
Has your dog boarded before?
Yes
No
If yes, how did they do?
Does your dog become anxious when left alone?
Never
Sometimes
Frequently
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Bathroom Habits
House trained? Yes / Mostly / No
Yes
Mostly
No
Marks indoors? Yes / No
Yes
No
Behavior & Temperament
Describe your dog's personality: Friendly, Social, Shy, Nervous, Calm, High Energy, Protective, Independent, Other.
Reaction to new people:
Reaction to unfamiliar dogs:
History of biting person or dog?
Resource guarding?
Fears & Stressors
Check any: Thunder, Fireworks, Vacuums, Loud Trucks, Men, Children, Other Dogs, Being Alone, New Places, Slick Floors, Other:
Thunder
Fireworks
Vacuums
Loud Trucks
Men
Children
Other Dogs
Being Alone
New Places
Slick Floors
Other
Handling
Comfortable with leash, harness, nail trims, ear cleaning, brushing, medication, baths, being picked up? Explain any concerns:
Food Behavior
Eats immediately / Grazes / Needs encouragement / Eats too quickly / Guards food
Eats immediately
Grazes
Needs encouragement
Eats too quickly
Guards food
Play & Exercise
Favorite activities: Fetch, Tug, Walks, Water, Sniffing, Chasing Toys, Quiet Attention, Other.
Fetch
Tug
Walks
Water
Sniffing
Chasing Toys
Quiet Attention
Other
Energy Level: Low / Moderate / High / Extremely Active
Low
Moderate
High
Extremely Active
Separation
At drop-off my dog usually: Walks right in / Hesitates / Whines / Barks / Pulls to leave / First boarding stay
Walks right in
Hesitates
Whines
Barks
Pulls to leave
First boarding stay
Additional Information
What is one thing you want us to know to make your dog's stay the best possible?
Is there anything we should avoid while caring for your dog?
Owner Acknowledgment
Back
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I certify the information provided is accurate to the best of my knowledge and will notify The Bark
Barn of any changes in my dog's health or behavior before future stays.
Owner Signature:
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Staff Use Only
Initial Greeting: Friendly / Reserved / Fearful / Reactive
Leash Handling: Easy / Moderate / Difficult
Kennel Entry: Easy / Moderate / Difficult
Dog-to-Dog Behavior: Social / Selective / Separate Housing
Food Motivation: High / Moderate / Low
Handling Score: 1-5
Boarding Recommendation: Excellent / Standard / Individual Handling / Behavior Consultation
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