Pet Profile for New Daycare North Clients Please use one form for each dog. Thank you Name Email DOG PROFILE Dog's Name Breed Please list any flea/tick products your pet is using: Is your dog taking heartworm preventative? —Please choose an option—YesNo Does your dog have any preexisting or current medical conditions? —Please choose an option—YesNo If yes please describe. Does your dog have any food allergies? —Please choose an option—YesNo If yes please describe. Does your dog have any sensitive areas to his or her body? —Please choose an option—YesNo If yes, please describe. Is your dog house trained? —Please choose an option—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? —Please choose an option—YesNo If yes, please describe. Has your dog ever bitten another dog? —Please choose an option—YesNo If yes, please describe the situation. Has your dog ever bitten a person? —Please choose an option—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? —Please choose an option—YesNo If yes, please describe Has your dog ever jumped or climbed over a fence or gate? —Please choose an option—YesNo If yes, please describe Does your dog dig? —Please choose an option—YesNo Is your dog crate trained? —Please choose an option—YesNo Where is your dog primarily? —Please choose an option—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?) —Please choose an option—YesNo Anything else you would like us to know about your fur friend?
