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. Should you accidentally hit the Return key at any point, the form will automatically Send. Just hit the back button type in your name at the top and continue where you left off.

**Double Dog Ranch Customer Information**
Last Name		First Name
Address 1		Address 2
City		State
Zip		E-mail Address
Home Phone		Business Phone
Cell Phone		Pager
Local Emergency Contact		Veterinarian Name and Phone
How Did You Hear About Us?	Internet Search Spot Magazine Portland Pooch Friends / Other dog owners Brochure at dog park	None of these reasons. It was actually...
I would like to come for a visit. Please send driving instructions to me

**Dog Information and Evaluation Form (One For Each Dog**)
Owner Name
Dog Name
Breed
Description / Color
Sex
Spayed / Neutered	Yes No
Month and Year of Dog's Birth (Guess if you need to)
Weight
Licensed	Yes No
Tattoo / MicroChip Details
Flea/Tick Program	Yes No
Feeding / Medication Instructions
Food Brand / Type
Pet Habits / Idiosyncrasies / Allergies / Additional Information.
Does your dog go to a Dog Park?	Yes No
If yes, how does she/he do? Please explain.
Does your dog go to Doggie Daycare?	Yes No
If yes, where?
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.
Please describe your dog's general temperament.
Please describe your dog's general physical condition.