Questionnaire:
In order for me to get to know your dog before your dogs arrival, PLEASE copy & print this questionnaire, fill it out & send it to me. Thank you:
Pet(s) Name(s) & Age(s):
How long have you had this dog?
Breed, Color & Weight:
Gender: Female? / Male?
Spayed? / Neutered? / Neither?
"In Season?"
Your Veterinarian:
Vet Contact Info:
Pest/Flea/Tick Control?
Heart-worm Medication?
Up-to-date on Vaccinations?
Please provide copy of Current Immunizations for our files. (available from your Vet)
Any Allergies?
Food Restrictions?
On Any Medications?
How is dogs Eyesight?
Hearing?
Any Recent Health Issues?
Feeding Guidlines:
What kind?
Quantity?
Is Dog used to Dry food or w/ Water added?
When do you usually feed your dogs?
What is the dogs normal daily/nightly routine at home?
Any favorite games? Favorite toys?
Do you use either a collar, pinch collar, choke-chain, halter-collar and/or harness?
Is your dog House-broken?
Leash-trained?
Crate-trained?
Tolerant of other Dogs?
Cat-friendly?
Horse-tolerant?
Does your dog like Baths?
The Water-hose?
The Ocean?
Pools?
Are there any training issues you'd like me to concentrate on while your dog is here?
Any Bad-habits?
Selective-hearing?
Chewer?
Barker?
Vocal?
Biter?
Digger?
Jumper?
Hunter?
Killer?
Destructive?
Protective?
Growler?
Bull-dozer?
Bully?
Nervous chewer?
Hot-spots?
Body-slammer?
Door-rusher?
Separation Anxiety?
Aggression Issues?
Counter-surfer?
Food-beggar?
Garbage-picker?
Carrion-roller?
Carrion-eater?
Sh*t-eater?
Do you walk the dog or does the dog walk you?
Does your dog chase cats?
cars, trucks, atvs?
bikes?
kids-on-skateboards?
waves?
fish?
blowing debris such as tumbleweeds, etc?
other dogs?
deer?
rabbits?
birds?
lizards?
squirrels?
Is your dog sociable with other dogs?
Sociable w/ small children?
w/ Teens?
w/ Adults?
w/ Strangers?
w/ people in uniforms?
w/ people w/ caps?
Does your dog have any Favorite Games?
PLEASE PROVIDE YOUR NAME, ADDRESS & PHONE NUMBERS AND PLEASE ALSO PROVIDE ALTERNATE CONTACT INFORMATION OF SOMEONE OTHER THAN YOURSELF WHO CAN TAKE RESPONSIBILITY FOR YOUR PET JUST IN CASE YOU CANNOT RETURN DUE TO UNFORESEEN CIRCUMSTANCES. THANK YOU.
********HATTERAS DOG DAYCARE******FRISCO, NC 27936-0182*******252.995.2633**********2012*******
Pet(s) Name(s) & Age(s):
How long have you had this dog?
Breed, Color & Weight:
Gender: Female? / Male?
Spayed? / Neutered? / Neither?
"In Season?"
Your Veterinarian:
Vet Contact Info:
Pest/Flea/Tick Control?
Heart-worm Medication?
Up-to-date on Vaccinations?
Please provide copy of Current Immunizations for our files. (available from your Vet)
Any Allergies?
Food Restrictions?
On Any Medications?
How is dogs Eyesight?
Hearing?
Any Recent Health Issues?
Feeding Guidlines:
What kind?
Quantity?
Is Dog used to Dry food or w/ Water added?
When do you usually feed your dogs?
What is the dogs normal daily/nightly routine at home?
Any favorite games? Favorite toys?
Do you use either a collar, pinch collar, choke-chain, halter-collar and/or harness?
Is your dog House-broken?
Leash-trained?
Crate-trained?
Tolerant of other Dogs?
Cat-friendly?
Horse-tolerant?
Does your dog like Baths?
The Water-hose?
The Ocean?
Pools?
Are there any training issues you'd like me to concentrate on while your dog is here?
Any Bad-habits?
Selective-hearing?
Chewer?
Barker?
Vocal?
Biter?
Digger?
Jumper?
Hunter?
Killer?
Destructive?
Protective?
Growler?
Bull-dozer?
Bully?
Nervous chewer?
Hot-spots?
Body-slammer?
Door-rusher?
Separation Anxiety?
Aggression Issues?
Counter-surfer?
Food-beggar?
Garbage-picker?
Carrion-roller?
Carrion-eater?
Sh*t-eater?
Do you walk the dog or does the dog walk you?
Does your dog chase cats?
cars, trucks, atvs?
bikes?
kids-on-skateboards?
waves?
fish?
blowing debris such as tumbleweeds, etc?
other dogs?
deer?
rabbits?
birds?
lizards?
squirrels?
Is your dog sociable with other dogs?
Sociable w/ small children?
w/ Teens?
w/ Adults?
w/ Strangers?
w/ people in uniforms?
w/ people w/ caps?
Does your dog have any Favorite Games?
PLEASE PROVIDE YOUR NAME, ADDRESS & PHONE NUMBERS AND PLEASE ALSO PROVIDE ALTERNATE CONTACT INFORMATION OF SOMEONE OTHER THAN YOURSELF WHO CAN TAKE RESPONSIBILITY FOR YOUR PET JUST IN CASE YOU CANNOT RETURN DUE TO UNFORESEEN CIRCUMSTANCES. THANK YOU.
********HATTERAS DOG DAYCARE******FRISCO, NC 27936-0182*******252.995.2633**********2012*******