Dog Profile
Dog's name:
Dog's Age:
Dog's Birthday:
Breed:
Markings:
Dog's Color:
How long have you had the dog?
Medications (Kind(s) and times a day):
Spayed/Neutered:
Yes
No
If selected 'No", then when
is date to be neutered?:
Allergies:
Medical Restrictions (physical/dietary):
Any illness in the last 30 days?
Yes
No
If checked 'Yes', then please explain:
Dog's Feeding Information
Dog's Brand of Food:
Amount to feed and when?
Morning:
Yes
No
To encourage eating, can we add 1 tbsp
of wet food, if disinterested in food?:
Afternoon:
Evening:
Any other special feeding instructions?:
Dog's Behavior Section
In order to keep a safe environment we need honest answers to these questions.
Rate dog's energy level (1 being low, 10 being extreme):
1
2
3
4
5
6
7
8
9
10
Yes
No
Is your dog friendly with other dogs?
What kind of dog socialization has your dog had?
None
Leashed Encounters
Small Groups
Very Socialized
Is your dog fearful of any of the following? (You can select more than one):
Men
Women
Children
Strangers
Certain Dog Breeds
Other
If selected 'Other' please explain:
Has/does your dog bite?
Yes
No
If selected 'Yes', then please explain:
Yes
No
Is he/she toy aggressive?
Yes
No
Is he/she food aggressive?
Yes
No
Has your dog been in a dog fight
where there were injuries?
If selected 'Yes', then please explain:
Crated
Free
When alone, is your dog:
Yes
No
Is your dog destructive?:
Yes
No
Does your dog have anxiety?
Any other special
instructions or information?:
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