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Dog's Name #1:
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Dog's Name #2:
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Dog's Age #1:
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Dog's Age #2:
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Dog's Breed #1:
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Dog's Breed #2:
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Dog's Color #1:
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Dog's Color #2:
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Dog's Markings #1:
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Dog's Markings #2:
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How long have you had the dog?:
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Spayed/Neutered ?:
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If selected 'No", then when is
date to be neutered?:
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Medications (Kind(s) and times a day):
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Allergies:
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Medical Restrictions (physical/dietary):
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Any illness in the last 30 days?
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If checked 'Yes', then please explain:
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Dog's Feeding Information
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Dog's Brand of Food:
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Amount to feed and when?:
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Morning:
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Afternoon:
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Evening:
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To encourage eating, can we add 1 tbsp
of wet food, if disinterested in food?:
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Any other special feeding instructions?:
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Dog's Behavior Section
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In order to keep a safe environment we need honest answers to these questions.
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Rate dog's energy level (1 being low, 10 being extreme):
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Is your dog friendly with other dogs?:
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What kind of dog socialization has your dog had?:
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Is your dog fearful of any of the
following? (You can select more than one):
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If selected 'Other' please explain:
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Has/does your dog bite?:
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If selected 'Yes',
then please explain:
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Is he/she toy aggressive?:
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Is he/she food aggressive?:
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Has your dog been in a dog fight
where there were injuries?:
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If selected 'Yes', then please explain:
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When alone, is your dog:
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Is your dog destructive?:
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Does your dog have anxiety?:
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Any other special instructions or information?:
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