Intake Questionnaire

Sit Stay Sleep Online Forms

New Client Intake Questionnaire Form

This is a three-page form. Use the Page 1, 2 and 3 links to move from page to page and use the submit button at the bottom of Page 3 to send the form.

New Sit Stay Sleep clients,
In my attempt to provide the best care possible for your dog it is important I know as much as I can about your dog—the good, the bad and the ugly. Please take the time to fill out this profile completely and honestly and help me give your dog the care it deserves in your absence. While you may be tempted to glorify your dogs good traits and play down the bad ones it is important to give me the whole picture of your dog’s personality, especially considering they may be part of my household.

Please fill out and submit a separate form for each dog.

Thanks,
Kendra

Page 1
Page 2
Page 3

Web Site

Today's date:

Your name:

Spouse/partner/doggy co-parent:

Your dog's name:

Email address

How did you hear about SSS?

Your cell phone:

Spouse/partner/doggy co-parent cell phone:

Home phone:

Your dog's sex:

Is your dog altered?

Yes

If you have an unaltered puppy, at what age to you plan to have them fixed?

I do accept puppies up to 18 months unaltered.

Your dog's DOB and age:

Dogs must be at least 6 months old, at time of first stay

How long have YOU had your dog?

If your dog came into your life in the past year or so, do you know their back story? Please share:

Have you done organized training with your dog; either in a class setting or with a private trainer? Please explain:

Your dog's weight:

We only accept dogs between 15 - 70 pounds adult weight

Breed and markings:

Is your dog microchipped?

Yes No

Does your dog have any health or mobility issues? If so, explain:

What services are you interested in?:

Daycare Boarding Puppy Socials

Is your dog crate trained?

Yes No Dogs under 18 months are required to be crate trained

How trustworthy is your dog unsupervised when alone or with other dogs?

Is your dog “food aggressive”, i.e.: will it get in a fight over its food or treats, will it growl if a person or other dog comes near during feeding or handing out treats? If so please explain:

Does your dog have any history of aggression with other animals or people? If yes, please explain:

Has your dog ever been in a fight or a scuffle, even one they did not start? If so, please explain:

Has your dog ever bitten and broken the skin of a person, for any reason? If so, please explain:

How is your dog with children under 10? While there are not children at Sit Stay Sleep, we do encounter them in the neighborhood.

In general how is your dog at greeting/meeting new dogs when off leash?

Does your dog read other dog cues and respond appropriately? i.e. play bow means “let’s play” a little growl means “I’m not interested, please give me some space.” Does your dog understand these cues?

How is your dog riding in the car? We do transport the dogs to trails, parks, beaches etc.:

If I talked to your neighbors about your dog, what would they say?

How much does your dog bark? In what situations: when someone walks by the house, when someone comes to the door, playing in the yard, when left alone? Please explain:

Does your dog have separation anxiety? Please explain:

Is your dog a chewer? Will they chew shoes, furniture etc? Please explain:

Is your dog a plant eater? Besides the normal grass munching, will your dog eat houseplants or other plants in the yard?

Is your dog a yard digger? If so can they be redirected to a digging area?

Is your dog toy/ball aggressive/possessive? Will they get in a scuffle over a toy or ball? Please explain:

Is your dog protective or possessive of YOU or other people they are bonded too? I.E. does your dog become more aggressive if other dogs come near you? Or if you give attention to other dogs?

What is your dog’s favorite thing to do?

Tell me about your dog’s behavior when on a leash walk i.e. bark at other dogs, pulls to get squirrel, gets scared at skateboarder, heels perfectly etc:

Does your dog come when called?

Yes No

What is your dog’s “come” command? Other useful commands your dog knows (i.e. heel, halt, sit, let’s walk, off etc.)

How is your dog off leash at the park? I.e. Point Isabel, Cesar Chavez, Albany Bulb, Tilden trails? Are they off leash worthy? Will they take off chasing a bird or deer and not come back?*

*Of course I leash dogs while loading and unloading from the car, in parking lots etc. but ideally we will be off leash once in a safe area.

What length of walk is your dog used to on a daily basis? Pace?

Are there any specific health issues I should know about related to walking your dog?

Is your dog an escape artist? Can they jump a 6-foot fence? Will they dig to escape?

How is your dog with fireworks and/or thunderstorms?

Where does your dog sleep at home? Is there a bedtime routine?

Is your dog allowed on furniture? Couch etc.

Have you left your dog in the care of other boarding facilities? Which ones, how was that experience?

Any other behavior issues I should know about to provide safe and sane care of your dog?