1. Dog’s name:
2. Parent’s Name/s:
3. Address:
4. Phone Number/s:
5. Email address/es:
6. Dog’s Birthday:
7. What vet do you go to (name, address, particular doctor)?
8. Does your dog have any known fears (i.e. thunder, rain, cars, other dogs, etc.)?
9. Does your dog have any allergies?
10. Does your dog have any medications? If so, what are they and what is the recommended dosage and times per day administered?
11. Does your dog graze or eat a certain number of times per day?
12. Does your dog have any behavioral problems (counter surfing, jumping, pulling, barking, etc.)? If so, what do you do to deal with or correct these problems?
13. Is your dog spayed or neutered? If not, are you planning on having them fixed?
14. What are some of your favorite qualities your dog possesses?
15. Is your dog good around children?
16. What is your dog’s favorite toy and game?
17. Does your dog swim?
18. Do you give treats regularly? When and for what do you administer treats?
19. Is your dog playful and friendly towards other dogs or aggressive?
20. Has your dog ever injured another dog or person?
21. Is your dog prone to snap or bite?
22. What’s the story of how you and your dog came to be together (breeder, rescue, etc.)?
23. How long have you and your dog been together?
24. Do you have a regular work schedule?
25. Is there anything else you would like to say about your dog or you and your dog’s relationship/bond?