Owner First Name
Owner Last Name
Dog's Name
Breed
Weight
Sex
Male
Female
Neutered?
Yes
No
Dog's must be spayed/neutered if over the age of 6 months.
Color/Description
DOB (if unsure, please estimate):
(MM/DD/YYYY)
Vet/Clinic Name
Vet/Clinic Phone Number
What Type of service are you interested in?
Boarding
Training
Daycare
Home Address
City
State
Zip Code
Home Phone
Work Phone
Cellular Phone
Alternate Phone Number(s)
Email
Emergency Contact Name
Emergency Contact Phone
How did you hear about DogBoy's?
--Select One--
Vet
News Article
Advertisement
Local Event
Website
Friend
DogBoy's Customer/Employee
Other
If other, please specify:
How old was your dog when you got him/her? (if unsure, please estimate)
How and/or where did you get your dog?
What was your primary reason for getting a dog?
Companion
Protection
Gift
To Breed
For Child
For Other Dog
Replace Previous Dog
Is your dog a (check all that apply):
Digger
Chewer/Shredder
Barker
Fence Climber
If fence climber, list type of fence and height
Does your dog exhibit any destructive chewing?
Yes
No
If yes, check all that apply:
Impersonal items:
Furniture
Flooring
Doors
Other
Personal items:
Socks
Underwear
Clothing
Shoes
Other
Is your dog sound or sight sensitive (check all that apply):
Thunderstorm
Lightening
Firecrackers
Other
Likes to play with (check all that apply):
Women
Female Dog
Men
Male Dog
Is your dog (check all that apply):
Dog Aggressive
Human Aggressive
Please explain:
Has your dog ever bitten anyone?
Dog
Adult
Child
Did he/she break skin?
Yes
No
Please explain:
Favorite Games w/Family/Owner (check all that apply):
Tug/Fetch
Chase
Wrestle
Hide & Seek
Walks
Where are toys kept?
Toy Box
Throughout House
Out of Reach
Yard
Favorite Toys
Favorite Treats
Spends
% of time in-doors and
% of time outdoors
Where does your dog sleep? (check all that apply):
Owner's Bed
Bedroom
Sofa
Living Room Floor
Kitchen
Outside
Other
Is your dog house-trained?
Yes
No
How does dog react to crate?
Love
Tolerate
Hate
Destroy
On a scale of 1-5, how easy is it to groom your dog (ie - Bath, clip, brush)?
Easy ----------------------------------Difficult
1
2
3
4
5
What BRAND of dog food do you feed (main meals)?
Check any additional items your dog consumes:
Dog Treats
Cat Treats
Table Scraps
Bones
Cat Food
Feces
Other
Check feeding habits:
Free feed
Three times a day
Twice a day
Once a day
Does your dog have any allergies?
Yes
No
If yes, specify:
Is your dog taking any medications?
Yes
No
If yes, specify:
Has your dog ever had seizures?
First
Last
Medications
How do you control/correct misbehavior (check all that apply)?
Shock collar
Choke/prong collar
Time out
Alpha Roll
Newspaper/Magazine
Verbal (explain)
Please list behavior problems and/or goals for your dog:
Special Instructions
I have read and agree to the Rules of the Game
(By selecting the check box above, you are giving your online signature that the statement is true and correct)
Today's Date
(MM/DD/YYYY)