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In order to schedule your evaluation and first daycare day please complete our pet personality profile. Little White Dog doggie daycare is great place to let your best friend play in a safe, supervised environment. Our goal is for everyone to have have and go home happy and tired.  The pet personality profile gives us better insight into your dog’s behavior and sets up his/her first day to be a success.


Owner Name

Owner Email


Dog information


Name

Breed



Why are you considering our off-leash dog play program for your dog? (check all that apply)

 Play with other dogs So not home alone Exercise Recommended by other pet professional (trainer, vet, etc.) Other



Socialization : How frequently does your dog interact with strange/new dogs?



Has your dog had any issues previously during an on OR off leash meeting and or interaction?

If Yes, please tell us about the problem(s):


If your dog was dismissed from a prior daycare, social playgroup program or dog walker, what were the reasons?


Please provide any other comments you'd like us to know about this situation.



Health & Grooming

Please describe your dog's flea/tick control and prevention program:

Does your dog have any allergies?



Does your dog have any physical disabilities?  Yes No

Please explain disability & cause:

What restrictions need to be placed on their activities?


Does your dog have any medical conditions?  Yes No

If yes, please explain. If medication is used, please provide name and dosage:


Tell us about the details of your dog's diet (food brand & type, primary protein source, and feeding schedule):


On what type of surface does your dog generally go to the bathroom (e.g., grass, mulch, pee pads)?


Does your dog have any bathroom-related issues or concerns?


Does your dog like to be brushed?  Yes No


How does your dog react to having his/her nails clipped?

Does your dog have any sensitive areas on his/her body?  Yes No

If yes, please elaborate

Where are your dog's favorite petting spots?


How frequently is your dog walked outside? How long are your walks?


Check the box below that best represents your dog's overall level of exercise routine:

 Couch Potato: Spends days sleeping, occasional walks and/or playtime with humans or other dogs. Mild Exerciser: Short daily walks and/or regular playtime with human or other dogs. Moderate Exerciser: Long or multiple walks daily and/or regular playtime with human or dogs. Athlete: Regular jogs/runs and/or regular participation in a dog sport activity such as agility, flyball, frisbee, etc.




Household Information

Tell us about other pets in your household:

Breed Age Sex Spayed or Neutered?
 M F  Yes No
 M F  Yes No
 M F  Yes No
 M F  Yes No


Does your dog like children?  Yes No


How does your dog behave around children?


Do any visitors bring their dog(s) to your house?  Yes No

If yes, how do they get along?


How does your dog react to a stranger coming into your home or yard?


Does your dog ever bark or growl at anyone passing outside your home or yard? Has your dog ever lunged, growled, snapped, nipped, bitten and not broken skin or bitten and broken skin?  Yes No


Are there any types and/or breeds of dogs your dog seems to automatically fear or dislike?  Yes No

If yes, please explain?


How does your dog react to puppies?


How does your dog react to another dog approaching him/her in a park, at the beach, or on a walk? Pull, lunge, growl, bark, nip, bite, play bow, lay down, wiggle?


Does your dog play with other dogs?  Yes No

If yes, which type(s)?  Males & females Only males Only females

Please describe size, breed, & temperament of the other dogs.


What kinds of games does your dog play with other dogs?


What kinds of games does your dog play with people?


Has your dog ever shared his/her food or toys with other animals?  Yes No

If yes, how does your dog react to another dog approaching his/her food or toys?


Which commands does your dog know? (Please check all that apply)
 Sit Stay Down Come Heel Rollover Kisses High Five

Other tricks or commands:


How did your dog get his/her obedience training? (Please check all that apply)

 Attended one group class Attended more than one level of group classes (beginner and intermediate,etc.) Dog was sent to a board and train program Private sessions in home Other

If other, please explain:


Which of the following best describes the use of obedience cues with your dog at home?

 Key part of daily communication Used when we go on walks or have people over Used occasionally to better control behavior Rarely used Not applicable


What kind of a collar do you use to walk your dog?

 Buckle Nylon/Chain Choke Collar Harness - Leash Clips on Back Harness - Front Clip Head Collar Prong/Pinch


Is it effective in keeping him/her under control?  Yes No


Has your dog ever gotten away from someone when out for a walk?  Yes No

If Yes, please explain:


Where does your dog sleep?  Inside the house Outside the house Both/varies

In which room in the house does your dog sleep?


Has your dog ever jumped up on someone?  Yes No

If Yes, please explain:


How does your dog act when you get home at the end of the day?


What does your dog do to show he/she is happy?


What does your dog do to show he/she is upset?


Is your dog allowed on the furniture at home?  Yes No


Does your dog have any problems in any of the following areas?
 Mouthing Housetraining Barking Digging Ignoring commands

If Yes, please explain:


Behaviour Information


Are there any particular types of people your dog seems to automatically fear or dislike?


Has your dog ever growled at someone?  Yes No

If Yes, what were the circumstances and how did you respond?


Has your dog ever bitten a person?  Yes No

If Yes, what were the circumstances, how did you respond, and what were the injuries (if any)?


Has your dog ever bitten another animal?  Yes No

If Yes, what were the circumstances, how did you respond, and what were the injuries (if any)?


To the best of your knowledge, what does your dog do when you're not at home?


Has your dog ever climbed/jumped a fence?  Yes No

If Yes, what were the circumstances? How high was the fence?


Has your dog ever escaped from your house or yard?  Yes No

If Yes, what were the circumstances?


How would you describe the energy level of your dog?  Low Medium High


Has your dog ever chased or tried to chase a small animal?  Yes No

If Yes, what were the circumstances?


Has your dog ever chased someone (or wanted to) on a skateboard or bicycle?  Yes No

If Yes, what were the circumstances?


Is your dog frightened by thunderstorms?  Yes No

If Yes, describe the typical behavior & what specifically helps to relax your dog or calm his/her fear.


Is your dog frightened or nervous around anything else?  Yes No

If Yes, please explain.


Does your dog play with any toys?  Yes No

If Yes, what kinds of toys does your dog like?


Has your dog ever growled or snapped at a person who has taken food or toys away from him/her?
 Yes No

If yes, what were the circumstances and how did you respond?


Has your dog ever growled or snapped at another dog who has taken food or toys away from him/her?
 Yes No

If yes, what were the circumstances and how did you respond?


Have you ever noticed your dog stopping and staring at another animal?  Yes No

If yes, what were the circumstances?


Other comments about your dog which you feel might be helpful


How did you hear about us?