Ulster County Canines
"Do All Things With Love"
Questionnaire
Boarding/Dog Assistance
I am a
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Member of the public who is interested in Boarding
Shelter Seeking Rescue Assistance
Other
Today's Date
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Month
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Day
Year
Date
Name
First Name
Last Name
Co-Owner Name
First Name
Last Name
Your Email
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Your Phone
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Your City/State
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Veterinary
Dog's Name
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Breed Estimate
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Approximate Weight
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15 lb or less
16-30 lb
30-45 lb
45 lb-65 lb
65-80 lb
80-115 lb
116+ lb
Other
Dog-Dog Interactions:
Social makes friends with most dogs
A little shy/ standoffish but warms up
Nervous/Wont approach
Fearful will growl/nip at other dogs
Overexcited, sometimes annoys others
Unsure
Aggressive
Other
How does your dog behave around men?
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Loves men
A little bit shy/scared of men
Very afraid of men
Fear nips around men
Other
How does your dog behave around women?
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Loves women
A little bit shy/scared of women
Very afraid of women
Fear nips around women
Other
How does your dog behave around other dogs and high value food, treats or toys? Check all that apply:
Seems very carefree and unconcerned about holding onto food or toys when other dogs are around.
Lets the other dog take it.
Gobbles the food faster.
Growls at the other dog.
Bares teeth at the other dog.
Snaps/snarls at the other dog, guarding the food/toy.
Has not been tested around other dogs
Other
How are they on leash
Seems very well leash trained, walks nicely on leash
Pulls a little on leash
Pulls strong on leash
Jumps up/ mouths you
Not often on leash
Freaks out when you put a lead on
Other
Fences?
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Respects any fence/boundary
Needs a fence at least 4 feet high
Needs a fence 6 feet high
Can climb fences
Currently trained to invisible fencing
Other
Kenneling/Crating?
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Does great!
Whines a little
Whines and barks a lot
Gets destructive
Tries to break out
Gets worked up but then settles down
Other
Any additional comments regarding temperament that haven't been covered by the questions above?
Any past or current health issues? Please describe and include treatment given if any.
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