New Client Questionnaire

Name:

Email:

Name of Dog(s):

What is your dog’s breed?:

What is your dog’s weight (lbs)?

1. How much time does/do your dog(s) spend in dog parks and/or socializing with other (non-family) dogs?:
4-6 hours/week
2-3 hours/week
1-2 hours/week
Never

2. Is your dog a consistent and persistent loud barker?: YesNo

3. Has/have your dog(s) ever gotten into a fight with another dog where either was taken to a vet for an injury?: YesNo

4. Has/have your dog(s) ever bitten a person or acted aggressively toward a person?: YesNo

5. Is/are your dog(s) a full or mixed breed pit bull?: YesNo

6. Is/are your dog(s) neutered/spayed?: YesNo

7. Has/have your dog(s) ever scaled the equivalent of a 5′ fence and run away?: YesNo

8. Would you characterize your dog(s) as a potential escape risk? (For example, does she force herself through a crack in the door and dart outside?): YesNo

9. Is/are your dog(s) over 10 years of age?: YesNo

10. Does/do your dog(s) take special medication for a chronic injury or a debilitating condition? : YesNo

11. Which of the below best characterizes you as a dog owner? :
“I am so in love with my dog. I think of her as my own child.”
“I take great care of my dog but hold him accountable to his behavior.”
“My friends/kids sometimes tease me by saying that my dog really rules the roost in our family.”

12. Does/do your dog(s) come to you when you call? : YesNo

13. Have you ever boarded your dog(s) before?: YesNo

14. Has/have your dog(s) ever been turned down for boarding or day care?: YesNo

15. Check any that apply: Neurotic
Nervous
Prone to fight
Aggressive
An escape artist
Unpredictable
Prone to severe skin reactions
Prone to snap/bite
Leash aggressive
Acts abnormally during thunder/lightning storms
Extremely reluctant to travel

16. Are you confident that your dog(s) will do well at our All-Season Boarding Campcamp?:
Yes
No
I am not sure

How did you find us?:

Other:

Referral Name:

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New Client Questionnaire

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