To be completed before complimentary in-home consultation

Pet Owner Information

Name
Email

Home Address

Phone Number
Alternate Phone Number

Select Service(s) Requested
Dog WalkingPet SittingPet Visits

Pet Information

Pet Name

Pet Type (Dog, Cat, etc.)
Breed

Age

Sex
MaleFemale

Spayed/Neutered?
YesNo

Veterinarian Name
Veterinarian Phone Number

Health Problems or Allergies (please explain)

Is your pet currently on any medications? If so, which ones?

Vaccinations Up to Date?
YesNo

City License?
YesNo

Dog Behaviour (for our dog owners)

How does your dog react to other dogs?

How does your dog react to strangers?

Has your dog ever bitten someone?
YesNo
If yes, please explain

Has your dog ever been in a fight or bitten another dog?
YesNo
If yes, please explain

What is your dog like off-leash?

Does your dog like car rides?
YesNo
What is your dog like during a car ride?