Owner Name
Dog Name
Breed
Description / Color
Sex
Male
Female
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.