Central Kentucky Pet Resort - Pet Personality Profile for Daycare and Group Play

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BASIC INFORMATION
Owner's Name
Date
Dog's Name
Breed
Weight
Age
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Email* This field is required.
example@example.com
3
Where did you get your dog?
Newspaper/Craiglist Ad
Breeder
Animal Shelter
Animal Rescue Group
Friend/Family member
Found as Stray
Pet Store
Other
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Other
5
If adopted, what knowledge do you have of your dogs past history?
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HEALTH AND WELLNESSIs your dog on a flea/tick preventative?
Yes
No
7
Please describe
8
Does your dog have any allergies?
Yes
No
9
Please list
10
Does your dog have any physical disabilities?
Yes
No
11
Please explain disability/restrictions required
12
Does your dog have any pre-existing medical conditions?
Yes
No
13
Please explain condition and any medications used to conrol it (name and dosage)
14
ACTIVITYHow would you best describe your dogs activity level?
Lap Dog (loves to sit in my lap and demand attention)
Sprinter (has short bursts of energy, then needs a nap)
Team Player (will only play when other dogs are around)
Couch Potato (you can find me resting peacefully)
Long-Distance Runner Other (I'll sleep when I'm dead!)
Loner (I'd tell you, but he keeps to himself so I don't know)
Gymnist (loves to rip, roll, jump, and tumble)
Other
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Other
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What kinds of games does your dog play with people and/or other dogs?
Please Select
Please Select
Yes
No
Does your dog play with any toys?
What kind?
17
BEHAVIOR & SOCIALIZATIONOf the following, which best describes your dog's level of socialization?
NONE (No interaction with other dogs)
MINIMAL (On leash casual encounters only)
MODERATE (Some off-leash playtime occassionally with visitor's/neighbor's/friend's dog(s))
EXTENSIVE (Regular visitor to dog parks, dog daycare, dog social events, etc)
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Are there any particular types of people your dog seems to automatically fear or dislike?
Yes
No
19
Please explain
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Are there any particular types and/or breeds of dog your dog seems to automatically fear or dislike?
Yes
No
21
Please explain
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How does your dog react to another dog approaching it in a park or on a walk?
23
Has your dog ever shared his/her food or toys with other animals?
Yes
No
24
If yes, how does your dog react to another dog approaching his/her food or toys?
25
Has your dog ever growled or snapped at anyone who has taken his/her food or toys away?
Yes
No
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If yes, what were the circumstances and how did you respond?
27
Do you allow your dog to jump up on people?
Yes
No
28
Has your dog ever growled at someone?
Yes
No
29
If yes, please explain
30
Has your dog ever bitten someone?
Yes
No
31
If yes, please explain
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Yes
Please Select
Yes
No
Has your dog ever climbed/jumped a fence?
Yes
Please Select
Yes
No
Is your dog frightened by thunderstorms?
Yes
Please Select
Yes
No
Is your dog frightened by any other noises?
33
Describe
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Is your dog frightened of or nervous around anything else?
Yes
No
35
Describe
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Does your dog know any commands? (please check all that apply)
sit
stay
down
come
heel
rollover
kisses
high-five
stand
shake
Other
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other
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Does your dog know any tricks?
Yes
No
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If yes, please describe
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OTHERPlease list any other comments or information about your dog that you feel might be helpful.
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Signature*I certify that the information in this profile is complete and accurate to the best of my knowledge.
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