Double Dog Ranch Customer Evaluation

	Double Dog Ranch Customer And Dog Information

Complete each field, then click on the Send To Double Dog Ranch button at the bottom of the page. If you accidentally hit the Return key at any point, the form will automatically Send. Just hit the Back button and continue where you left off.

**Double Dog Ranch Customer Information**
Owner First Name		Owner Last Name
Address 1		Address 2
City		State
Zip		E-mail Address
Home Phone		Work Phone
Cell Phone		Local Emergency Contact Name and Phone
Veterinarian Name and Phone
How did you hear about us?		If you were referred to us, who referred you?
I would like to come for a tour.	Yes No

**Dog Information and Evaluation Form (One For Each Dog**).

If you have more than one dog: complete the form for the first dog, and click on the **Send To Double Dog Ranch** button at the bottom of the page. Next click the back button, and then enter the information for the next dog. This saves having to re-type the Customer Information.
Dog Name	Breed
Color	Sex	Male Female
Month / Year of Dog's birth	Spayed / Neutered	Yes No
Weight	Licensed	Yes No
Food Brand / Type	Tatoo / MicroChip Details
Please describe your dog's general temperament.
Please describe your dog's general physical condition.
Does your dog require any special care?
Pet Habits / Idiosyncrasies / Allergies / Additional Information.
How is your dog socialized? (Choose all that apply - Ctrl+click).
How often is your dog socialized?
Were there any problems? Please explain:
Has your dog ever been in a fight?	Yes No
If yes, what were the circumstances?
Does your dogs behavior depend on the size, breed or gender of other dogs?	Yes No
If yes, please explain.
Might your dog be an escape risk in a new environment?	Yes No
If yes, please describe behaviors to watch for.
Are there any other problematic behaviors we might need to keep an eye on?
Is your dog food or toy possessive?	Yes No
Has your dog been left overnight before?	Yes No
Were there any behavioral problems either while you were away or upon your return?	Yes No
If yes, please explain.
Has your dog ever run away for any reason (chasing cat, dog, looking for you, etc)?	Yes No
If yes, please explain.