Owner and Dog Profile

651-642-WOOF (9663)
safe, clean, loving care by the day or overnight

new guests
FAQ
/
Owner & Dog Profile
/
Client Agreement

Please take a few minutes to complete this Owner & Dog Profile form (one per pet please). It will help us understand your pet’s background, personality and special needs so we can make his/her visit at Dog Days as safe and as comfortable as possible. Thank you for your time and cooperation.

Client Profile
How did you hear about Dog Days daycare?

If you came to Dog Days via a referral, who referred you?

Are you interested in:

Owner's Name(s):

Mailing Address:

Phone Numbers:

Email Address:	(We will not supply your address to others.)
Emergency Contacts (who are authorized to pick up dog):
Contact 1:
Contact 2:

Pet Profile
Dog's Name:
Sex:	Female Male	Spayed/Neutered:	Yes No
Primary Breed:		Color:
Approximate Weight:		Birthdate (if known):

Medical
Vet Clinic:

Other vet than listed above:

Yearly Heartworm Test given?
Yes No
Flea and Tick Medication used?
Yes No	If yes, what brand of preventative?
List any known allergies (to foods, medications or other):

Describe any health/medical issues we need to be aware of (i.e. hip problems, seizures, etc):

Are there any restrictions on your dog's activities or movements?

Does your dog take any medications?
Yes No	If yes, for what?

Experiences
Has your dog ever been boarded before?
Yes No	If yes, please describe your dog's experience:
Has your dog ever been to daycare before?
Yes No	If yes, please tell us where and describe your dog's experience:
Has your dog had any obedience training?

How long has your dog been in your family?

If adopted or rescued within the past 8 months, do you have any knowledge of your dog's past history?

Rate your dog's energy level:

Behaviors
Does your dog play with other dogs on a regular basis?
Yes No
If yes, would you say he/she plays nicely?
Yes No	Comments:
Does your dog go to an off-leash park?
Yes, often Yes, occasionally No	If yes, how does he/she behave?
Does your dog bark a lot?
Yes No	If yes, please list any special commands to stop the barking:
Is your dog fearful of storms?
Yes No	If yes, what do you recommend we do to best comfort him/her?
Is your dog frightened by anything else? Any noises?
Yes No	If yes, explain:
Does your dog have separation anxiety?
Yes No	If yes, please describe:
Does your dog defecate or vomit while riding in the car?
Yes No
Has your dog ever climbed or jumped a fence?
Yes No Unknown	If yes, height of fence:
Check all situations where your dog may become unfriendly:
Grabbing collar Hugging Touching Ears Removing from furniture Touching while sleeping	Another dog runs up to him Another dog sniffs his butt Other (please describe): None
Has your dog ever growled or snapped at any person who has touched his bones or food?
Yes No
Has your dog ever growled or snapped at any person who has touched his toys?
Yes No
Will your dog nicely share toys with other dogs?
Yes No Unknown
Does your dog automatically dislike any kind of dog? (i.e. tails curled up over back; small dogs; certain breed; etc)
Yes No	If yes, what types?
How does your dog react to puppies?

How does your dog react to strange people?

Does your dog automatically dislike or respond negatively to any type of person? (i.e. men with beards; children; etc)
Yes No	If yes, what types?
Has your dog ever bitten a human? Yes No
Has your dog ever bitten another animal? Yes No
If yes to either question above, please explain the circumstances:
Does your dog use a crate at home? Yes No
If answered "no", does your dog have any known severe anxieties or fears of a crate?
Check all behaviors that apply to your dog:
Excessive barking Eating stool Mouthiness (play biting humans)	Doesn't come when called Aggressive on leash (lunges and/or snarls at dogs when on leash)

FAQ
Owner & Dog Profile
Client Agreement

Client Profile

Pet Profile

Medical

Experiences

Behaviors