Pet Day Care
Pet Profile Form
ZIP / Postal Code
How long has your pet lived with you? (years/months)
Spayed or Neutered ( Yes or No )
When and where did you acquire your dog?
If adopted, please share what you know about your pet's history.
Number of cats in household
Number of dogs in household
Does your pet like to be brushed?
Name of Flea/Tick control and prevention program
(Prevention is mandatory. Please list name of prevention program)
Does your pet have any allergies?
Does your pet have any existing medical conditions?
Please provide details of your pet's diet (brand and type)
Indicate the following from the overall level of exercise that best describes your dog's routine
Indicate from the following the level of dog socialization that best describes your dog's routine
None (No knowledge of other dog interaction)
Minimal (On lead encounters only)
Moderate (Some off-lead playtime on occasion with visitor's/neighbor's/friend's dog)
Extensive (Regular visits to dog social events, off lead dog parks, dog daycare)
How does your dog get along with other household pets?
Are there any particular types of people your pet seems to automatically fear or dislike?
Are there any types and/or breeds of dogs your dog seems to automatically fear or dislike?
How does your dog react when approaching another dog on a walk on leash?
How does your dog reach when approaching another dog off leash?
Does your dog play with other dogs? (check all that apply)
Males and females
Please list size, breed and temperament of the other dogs
What kind of games does your dog play with people?
Food/toy aggressive or possessive?
Where does your pet sleep?
Inside the home
Outside the home
Inside/outside the home
Where in the room does your pet sleep?
Cushion/bed on floor
Other (please describe)
Has your pet ever growled at someone?
Has your pet ever bitten someone?
How does your pet act when you arrive at the end of the day?
What does your pet do to show he/she is happy?
Has your pet ever climbed/jumped or dug under a fence?
Is your pet allowed on the furniture at home?
Is your pet afraid of any specific items or noises?
Is your pet frightened of thunderstorms?
Please describe his/her behavior and what you do to calm him/her down
Has your dog had any formal obedience training?
When and where?
What commands dose your dog know?
Has your dog ever been attacked or bitten by another dog?
What does your pet do when he or she gets upset?
Why is your dog coming today for his or her evaluation?
Would like to attend daycare to get better socialized
Would like to attend daycare to get exercise
How would you describe your pets prey drive?
(Will chase smaller animals i.e. squirrels, cats, etc.)
Does your pet resource guard? If yes, please explain
(Protective of food, water bowl, toys, etc)
What else would you like to tell us about your dog or cat?
MM slash DD slash YYYY