New Client Questionnaire Name: Email: Name of Dog(s): What is your dog’s breed?: Which Facility?: Please select an optionDC/MD/NOVANYC/NJ/CTBoston/Western MA 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?: Please select an optionGoogle (Sponsored Search)Google (Organic Search)YahooBingFacebookOther/Referral (see below) Other: Referral Name: Country Dogs Boarding Load More...Follow on Instagram Subscribe to Our Mailing List! Success! Name Email Subscribe! Country Dogs Boarding Load More...Follow on Instagram Subscribe to Our Mailing List! Success! Name Email Subscribe!
