Day Care Client Questionnaire Client’s Name:*Date Phone*Email* Dog’s Name:Dog’s Age: Dog’s Breed: Date of Adoption:Is (dog’s name) spayed/ neutered intact?Most recent vet visit and results: Any current medical issues?YesNoCurrent on vaccinations? Rabies Bordatella OtherDescribe "Other"Previous Daycare ExperienceI have a series of questions to help me gauge our ability to provide the most appropriate and enjoyable stay and environment for (dog’s name).Has (dog’s name) ever gone to daycare before?YesNoIf yes:How did he respond?How did you feel about the experience?What lead you to look for a new daycare? If no:How do you expect (dog’s name) will respond to daycare?Do you have any concerns for (dog’s name) about attending daycare? Resource Guarding—DogsDoes (dog’s name) have any toys he prefers not to share with other dogs?YesNoIf yes, which toys?How does (dog’s name) respond when another dog approaches where she’s resting? What about when another dog approaches you?Does that change if you have food or treats?How does (dog’s name) let other dogs know he doesn’t want to share? Resource Guarding—HumansDoes (dog’s name) have any toys he prefers not to share with humans?YesNoIf yes, which toys?What does (dog’s name) do when a person reaches for something she has? How does (dog’s name) respond when a person approaches where she’s resting?What about when another person approaches you?Does that change if you have food or treats?How does (dog’s name) let people know he doesn’t want to share? Dog-Dog SocializationHow many dog friends does (dog’s name) have?ManyA fewOne or twoNoneHow often does (dog’s name) have a chance to meet new dogs?WeeklyOccasionallyRarelyWould you say that (dog’s name) warms up to new dogs:quicklyslowly upon first meetingover many meetingsneverWould you say that (dog’s name) is most comfortable:touching and interacting with other dogsbeing near but not interactingat a distancenot at allWhat does (dog’s name) do when he meets a new dog for the first time?Has (dog’s name) ever had an altercation with another dog?Tell me what happened.Dog PlayWhat kind of dog does (dog’s name) prefer to play with?Big dogsSmall dogsMid-size dogsOlder dogsYounger dogsRowdy/ energetic dogsLaid back dogsAre there any kind of dog (dog’s name) dislikes or prefers not to play with?Big dogsSmall dogsMid-size dogsOlder dogs Younger dogsRowdy/ energetic dogsLaid back dogsPuppiesBarrier FrustrationWhat does (dog’s name) do when she sees another dog while she’s on leash?What does (dog’s name) do when she sees another dog when she’s behind a fence or looking out through a window, such as at home or in the car?Dog- People RelationsWould you say that (dog’s name) warms up to new people:immediatelyquicklyover timeIs (dog’s name) comfortable having her collar put on and taken off?Loves itTolerates itHates itHow can you tell?Is (dog’s name) comfortable having her leash put on and taken off?Loves itTolerates itHates itHow can you tell?Is (dog’s name) comfortable being picked up, petted, and hugged?Loves itTolerates itHates itHow can you tell?Has (dog’s name) ever had bitten or snapped at a person?NoYesTell me what happened. CommentsThis field is for validation purposes and should be left unchanged.
