BAYSIDE PET RESORT GROUP PLAY FORM
Owner Name
*
First Name
Last 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?
*
Newspaper
Breeder
Pet Store
Animal Shelter
Animal Rescue
Friend
Stray
Other
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?
*
Yes
No
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?
*
Yes
No
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?
*
Yes
No
If yes, where?
Does your dog have any allergies
*
Yes
No
If yes, please explain
Does your dog have any physical disabilities?
*
Yes
No
If yes, please explain disability and cause:
If yes, what restrictions need to be placed on your dog's activities or movements?
*
No Running
No Jumping
No hardplay
No contact with other dogs
Other
If other, please explain:
Does your dog have any pre-existing medical conditions?
*
Yes
No
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 dogs
Athlete: 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 interaction
Minimal: On-lead encounters only
Moderate: 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?
*
Yes
No
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?
*
Yes
No
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?
*
Yes
No
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 Females
Males only
Females only
Neither
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?
*
Yes
No
If yes, how does your dog react to another dog approaching his/her food or toys?
*
Where does your dog sleep?
*
Inside the house
Outside the house
Inside/Outside-varies
If inside, in which room in the house does your dog sleep?
*
Where in the room does your dog sleep?
*
Crate
Owner's bed
Dog Cushion/Bed on floor
Other, please describe
If other, please describe
Has your dog ever jumped on someone?
*
Yes
No
If yes, what were the circumstances?
Has your dog ever growled at someone?
*
Yes
No
If yes, what were the circumstances and how did you respond?
Has your dog ever bitten someone?
*
Yes
No
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?
*
Yes
No
Has your dog ever climbed/jumped a fence?
*
Yes
No
If yes, what were the circumstances?
Is your dog frightened by thunderstorms?
*
Yes
No
If yes, describe typical behavior and what specifically helps your dog's fear.
Is your dog frightened by any other noises?
*
Yes
No
If yes, what noises?
Is your dog frightened of or nervous around anything else?
*
Yes
No
If yes, please explain.
Does your dog play with any toys?
*
Yes
No
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?
*
Yes
No
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)
*
Mouthiness
Housetraining
Barking
Digging
Ignoring commands
If you checked one or more, please explain.
Which commands does your dog know? (check all that apply)
*
Sit
Stay
Down
Come
Heel
Rollover
Kisses
High Five
Other
If other, please describe
Does your dog know any tricks?
*
Yes
No
If yes, please describe.
What kind of collar do you use to walk your dog?
*
Buckle
Nylon/Chain Sliding Ring
Harness
Head Colar
Prong/Pinch
Is it effective in keeping them under control?
*
Yes
No
Does your dog have a command to go to the bathroom?
*
Yes
No
If yes, what is the command?
Does your dog have a command to be quiet?
*
Yes
No
If yes, what is the command?
Does your dog respond to any commands on hand signal?
*
Yes
No
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?
Submit
Should be Empty: