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How does your dog react to children?
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If you checked “Other” please explain:
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Not good with children
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Good with all children
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Good with older children
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Don’t know
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Other – please explain:
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Would your dog be happy in a household with children?
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How does your dog react to cats?
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If you checked “Other” please explain:
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Not good with cats
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Used to cats – does not pay any attention
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Don't know – never been exposed to cats
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Will chase the cat
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Other – please explain:
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Would your dog be happy in a household with cats?
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How does your dog react to other dogs?
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If you checked “Other” please explain:
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Not good with other dogs
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Used to other dogs – does not pay any attention
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Don't know – never been exposed to other dogs
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Will play with other dogs
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Other – please explain:
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Would your dog be happy in a household with another
dog?
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Any other particular likes/dislikes that we should
know about? e.g. does your dog enjoy being in the car? Is
your dog frightened of anything in particular?
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Does your dog display any destructive tendencies in
the home?
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If Yes, please explain:
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Yes
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No
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In general, how would you describe your dog’s temperament?
(e.g. is he usually placid / energetic / obedient / excitable / calm
/ nervous, or use your own words):
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How often is your dog left alone in the house and
for how long?
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When left alone, is your dog confined in any way?
Please explain:
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Is your dog ever given any “people” food?
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How does your dog usually ask to go out?
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How often is your dog used to going outside?
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When walking your dog, do you let your dog off the
leash?
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If yes, would you be happy for the care provider
to let your dog off the leash in safe areas?
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How does your dog react when he meets other dogs?
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Is there anything in particular we need to know about
keeping your dog safe? Does your dog try to escape, jump
fences, try to slip through open doors, dig holes to get under fences,
etc.
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DAILY ROUTINE
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Please note that as the owner you must provide
adequate food to last your dog during the entire length of his stay. We
believe that by keeping your dog on the same diet there is less chance
of tummy problems, allergies, etc.
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Briefly describe your dog’s daily diet plan: (please
indicate how often and when your dog is usually fed).
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Is your dog used to having fresh water down at all
times? If no, please explain:
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Is your dog on any medication? If yes,
please give us the name and details of the medication, what it is
for and when it is given.
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Where does your dog sleep at night?
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Briefly describe your dog’s daily outdoor activities
(indicate time of day and duration of walks and/or being let out):
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Does your dog receive any treats? Is there
any particular time when you give treats to your dog? Please explain:
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Is there anything else that we should know about
your dog to ensure that your dog has the most enjoyable stay?
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I confirm that all the
above information is correct to the best of my belief.
NOTE: A copy of the completed form will be
e-mailed to you as confirmation.
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