Dog Profile
Information:
Owners Name:
Dogs Name:
Breed:
Approximate age of dog and or date of birth:
Identifying marks or characteristics of dog:
Spayed or Neutered Yes ____ No____
How long have you owned the dog?
Medication/Food:
Name of Medication __________________________
Reason for Medication __________________________
Will we be giving this medication throughout the day?
If yes, please give times. _______________________
Any medical conditions? Please explain __________________
Does your dog have any restrictions because of this condition? If yes, please explain _______________
Does your dog have any allergies? ________________
Dietary restrictions: __________________________
What brand of food does your dog eat? ______________________
Has your dog been ill within the past 30 days? yes _ no__
If yes, please explain: ____________________________
Health and Grooming:
What type of flea control is your dog currently on?
How does your dog react when getting a bath? ________________
How often do you brush or comb your dog? ________________
How does your dog react to having his or her nails clipped? ____________
Does your dog like to be petted? If so, what is there favorite spot? __________________
Does your dog have any sensitive areas of the body that they do not like touched? If so, where, and how do they react
when you touch them? _____________________________________
Dogs behavior:
In order to keep a safe environment for all of our daycare doggies, we need honest answers to these questions.
Has you dog ever been in a daycare setting before?
Does your dog get along with other dogs? Yes ___ No____
I Don’t Know ____
What type of social experience does your dog have with other dogs?
___ No socialization
___ On leash encounters with other dogs only
___ Moderate socialization – off leash with friend and family dogs.
___ I socialize my dog with as many dogs as I can. He/She loves to play with other dogs, and has a great time doing
so.
If adopted, do you have knowledge of your dogs history? ________________________________________________
Is your dog crate trained? Yes___ No___
Are there certain types of people who your dog fears or dislikes? (besides the mail man ) ________________
Does your dog like…
Men ______________________________________________
Women _____________________________________________
Children ___________________________________________
How does your dog react to strangers? ______________________
Are there certain types of dogs that your dog dislikes or shies away from?
______________________________________
Is your dog frightened by anything in particular? If so, is there a special way that you calm them?
_______________________
Does your dog share his food and toys with other dogs? Yes___ No___
How does your dog react when another dog approaches his/her food? _____________
How does your dog react to puppies? ___________________
Where does your dog sleep at night? __________________
(don’t worry…mine sleep with me too…shhhh)
Has your dog ever growled at anyone ________________
Has your dog ever bitten anyone? If yes, please explain
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Has your dog ever been in a dog fight that ended in injury? If yes, please explain.
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Where is your dog kept when you are not home? ________________________________________
Is your dog allowed on the furniture? ___________________
Has your dog ever climbed a fence? ______________
Does your dog play with toys, and if so, what are his/her favorite?
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Training:
Does your dog know any commands, and if so which ones?
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Is your dog mouthy or does he/she nibble on you? ___________
Has you dog had any training? If yes, where?
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Does you dog know any special tricks?
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Does you dog have a bathroom command? Please explain.
_______________________________________________________________________________________________
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Does you dog have a “quiet” command? Please explain.
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Please rate your dog’s level of energy, with 1 being a couch potato, and 10 being a playful ball of energy. Please circle.
1 2 3 4 5 6 7 8 9 10
Issues:
Does your dog have any issues with the following? If yes, please explain.
1. Jumping up on people ____________________________
2. Barking ________________________________________
3. Destructive chewing ______________________________
4. Digging __________________________________________
5. Eating “non food” items _____________________________
6. Shyness ______________________________________
7. Not coming when called and ignoring other commands _____________________________________________
8. House training ________________________________
9. Running away ______________________________
10.Eating feces___________________________________
Dog owners are responsible for providing food if their dog must eat during the day. Food can be brought daily, or a
large supply can be left at the daycare.
Brand of food if this applies to you: ___________________
Wet ___ Dry ___ Please specify how your dog likes his/her meal prepared. ______________________________
Amount per feeding _____________________
How many times per day? _________________________
Are there any treats that your dog may not have? _____________________
Can your dog have peanut butter? Yes____ No_____
Please feel free to tell us anything else about your dog that you feel that we should know.
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