Owner’s name

Contact Phone number

Your email

Pet's Name

Pet's breed

Pet's Age

Neutered
Please choose oneMale neuteredMale entireFemale spayedFemale entire

Pet's size
Please choose oneSmallMediumLarge

What is your main reason for enrolling in daycare?

How would you describe your dog’s temperament? Tick any/ all that apply:
Quiet/laid backShy or timidEnergetic/confidentHyper/high energyObedient/ eager to pleaseHeadstrong/ stubbornDis-obedient/non-compliant

How would you describe your dog’s social skills with other dogs? Tick any/all that apply:
Aggressive on sightAggressive once metDisinterested & low tolerance for othersDisinterested but tolerantTolerant, sniffs others, avoids playHappy to play if games ignore others cues to stopQuite full-on, energetic, overwhelms other dogs quickly, often/always ignores others cues

How would you describe your dog’s playstyle with other dogs? Tick any/all that apply:
Not playful, avoids contactInteraction limited to sniffingLikes to play-submissiveLikes to play – confidentLikes to play- dominatingRough, overbearing, very physicalPrefers to chase othersPrefers to be chasedLikes to play for short-medium timeWould play with others all day if they could!

Does your dog show aversion to any of the following- tick any/all that apply:
Touch on a certain area(s) on their bodyHoses, paddling poolsBeing on leadDogs smaller in sizeSpecific breeds or gendersDogs similar in sizeParticular noises/items/clothing e.g. hatsDogs larger in sizeCertain people or gendersSharing toys with other dogs

Does your dog show any of the following behaviours currently?
Aggression towards other dogsSeparation anxietyExcessive barkingFence climbing/jumpingJumping up on greetingDestruction of property/itemsAggression towards humansHumping other dogs

Please tick any/all of the following health issues that may apply;
Hip dysplasiaMZl conditionArthritis Deaf/blindCurrent injury Historical injury

Please feel free to comment anything else, or to elaborate on earlier questions: