WALK N ROLL PET SITTING
PROFILE/ASSESSMENT
Name______
Address______
Phone Number ______
Dog’s Name______Breed Type______
Dogs Age ______Dogs Weight______
Where did you get your dog? ______
Are there other animals in your household? (Y/N) ______
Has your dog ever been to Dog Day Care before (Y/N) Where? ______
Have you boarded your dog before? (Y/N) Where? ______
Where does your dog stay most of the time? (Check a response):
___ Indoors ___ Garage ___ Other ___ Outdoors
Does your dog have a problem with fleas? (Y/N)
Do you use any flea products on your dog? ______
Medications now? ______
Medication recently? ______
Does your dog have any injuries? ______
Does your dog have any medical conditions that limit your dog’s activities? ______
Does your dog have any sensitive areas on his/her body? ______
Has your dog had any surgeries in the past? ______
Does your dog act afraid of any specific items or noises? (Y/N)
If so, please explain: ______
How does your dog react to strangers coming into your home or yard? ______
Are there any kinds of people your dog automatically fears or dislikes?
(ie: men, people in uniform, etc.) ______
Circumstances where your dog is aggressive with other dogs? (Y/N)
Please Explain: ______
Does your dog go to dog parks? ______
Can your dog jump over fences? (Y/N) If yes, how high
______
Has your dog ever bitten/growled at someone? (Y/N) Circumstances?
______
Does your dog have any problems in any of the following areas: (if so, please initial)
____ Digging _____Jumping _____Does not listen _____Shy
____ Chewing _____ Aggression _____Housebreaking _____Barking at noises
____ Pulls leash _____ Mouthing _____Running away Other ______
Has your dog ever shared his/her food or toys with other animals? ______
Does your dog play with other dogs? ______
Is your dog cat friendly? ______
Is your dog children friendly? ______
Has your dog ever had any formal obedience training? ______
What commands does your dog know? ______
VeterinarianHospital: ______
Who should we call to pick up your dog(s) in an emergency or if you are not reachable:
Name: ______Phone: ______