Pet Questionnaire Please answer the following questions so we may better understand your pet’s socialization skills. Name First Last Date MM slash DD slash YYYY Spayed or Neutered? Yes No Check which conditions apply to your pet : Dog Aggressive People Aggressive Jumps up Picky Eater House soils Chews High Jumper Stool Eater Separation Anxiety Escape Risk Toy Posessive Shy Digs Runs Away Do you want group play for your pet? Yes No Does your pet play well with others? Yes No Unsure Does your pet play well of leash with other dogs? Yes No Unsure Feeding Instructions : Favorite toy activity : Is your pet allowed to run free in a fenced yard ? Yes No Is your pet leash walked only? Yes No Has your pet ever bitten anyone? Yes No If yes, what circumstance? If your pet had something in his/her mouth that you did not want him/her to have, would he/she drop the object if asked or will he/she let you take if from him/her? Yes No What commands does your pet know? How does your pet act with strangers at home and in public? Is your pet sensitive about any body parts? (i.e. tail touches, paws touched, etc) Yes No Is there anything else you would like to share with us regarding your pet? Yes No If yes, please explain. Consent I agreeEmergency Phone Δ
