Pet Profile for New Daycare North Clients Please use one form for each dog. Thank you Name Email DOG PROFILEDog's Name Breed Please list any flea/tick products your pet is using: Is your dog taking heartworm preventative? ---YesNo Does your dog have any preexisting or current medical conditions? ---YesNo If yes please describe. Does your dog have any food allergies? ---YesNo If yes please describe. Does your dog have any sensitive areas to his or her body? ---YesNo If yes, please describe. Is your dog house trained? ---YesNo Please check the boxes that best describe your dog's temperament. (Check all that apply.) CalmPlayfulExcitableShyDominantAggressive Other: Does your dog have fears or phobias? ---YesNo If yes, please describe. Has your dog ever bitten another dog? ---YesNo If yes, please describe the situation. Has your dog ever bitten a person? ---YesNo If yes, please describe the situation. How does your dog get along with other dogs? How does your dog behave around the following? Children PoorFairGoodExcellent Men PoorFairGoodExcellent Women PoorFairGoodExcellent Male Dogs PoorFairGoodExcellent Female Dogs PoorFairGoodExcellent Puppies/Small Dogs PoorFairGoodExcellent Does your dog do any guarding of food or toys? ---YesNo If yes, please describe Has your dog ever jumped or climbed over a fence or gate? ---YesNo If yes, please describe Does your dog dig? ---YesNo Is your dog crate trained? ---YesNo Where is your dog primarily? ---IndoorsOutdoorsBoth What are your dog's favorite toys? What are your dog's favorite activities? Is there anything your dog should not have? (Certain toys, food, etc?) ---YesNo Anything else you would like us to know about your fur friend?