Questionnaire 2018

Please complete this form and submit to Dogzies Pet Services.

If you have more than one dog please complete a separate form for each dog.

THERE ARE NO WRONG ANSWERS, WE ARE ONLY HERE TO HELP YOU FIND A SOLUTION AND BALANCE.

Owner First Name

Last Name

Phone

Dog's Name:

What is the breed(s) of your dog

Please provide Breeders name,(if available).

Dogs D.O.B.

Spayed or Neutered

true
false

Sex

Female
Male

How many children (include ages) live in the home with the dog?

How many adults live in the home with the dogs ?

Does your dog sleep in your bedroom

true
false

In your bed?

true
false
My dog does not sleep in my bedroom.

Do you feed your dog at specific times or do you free feed? How much do you feed and what type of food?

What other pets live in your home? (Please tell us species/name/age & sex

Does you dog interact well with other pets (if no, give details)

Have you trained with any other trainer or training facilities, if so please provide information about training

Has your dog stayed with a boarding facility or family member in the past? If yes, please explain.

Have you previously used any electronic training devices on this dog? If yes, please tell us about the training done and type of device (ie e-collar, electric fence, bark collar etc)

Do you live in a... please check one

House
Apartment
Townhouse
Other

Do you have a yard?

true
false

Is your yard fenced?

true
false

Do you have an invisible fence?

true
false

Does your dog jump fences?

true
false

Does your dog tolerate being crated?

true
false
Never been crated

Has your dog ever chewed or eaten his bedding while in a crate:

true
false
Never been crated

Have you ever been given written or other notice from the SPCA, Regional District or Dog Control

Have you done protection or bite work with your dog? (Schuntzhund dog sport)

Checkbox Description

false
true

Other problems you would like to resolve with your dog or anything else we should know about your dog?

How did you hear about Dogzies Pet Services? Please state name or business.

Have you signed the Waiver

(mandatory prior to attending any Dogzies activities)

true
false

Date

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Questionnaire 2018

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