intake-form2

Dog's Name*

Dog's Age

Length of time dog has been in your care*

Where dog has lived:

Has dog lived with cat(s)?

How well does dog get along with cat(s)?

Dog has lived with other dog(s):

How well does dog get along with other dog(s)?

Describe dogs reaction(s) when meeting a new/strange dog?

Obedience commands dog knows:

Dog has been trained:

Using a number from 1 to 5, where 1 means dog walks beside you with a loose leash and 5 means dog pulls you the entire time, how well does your dog walk on a leash?

Please enter a number from 1 to 5.

Dog lets you touch him/her anywhere (inside his ears, mouth, tail, etc.)

Dog lets you take away toys, food

List of things dog is frightened of:

Describe the specific ways dog acts when he/she is afraid

When a new person comes to your door, your dog:

Using a number between 1 and 5, where 1 means dog is calm and receptive and 5 means dogs reacts negatively (acts nervous, retreats, and/or growls), how does your dog act around small/loud/active young children?

Please enter a number from 1 to 5.

Does dog dig?

Does dog climb, jump or dig under fence to try and escape?

Will dog run away if he/she gets the chance?

Does dog act out and/or bark when left alone?

Dog likes: (Check all that apply)

To ride in the car
The water/to swim
To play fetch
To play tug
To play with toys

Types of toys dog likes to play with

Is dog reliably housebroken?

Number of hours on a typical weekday that you are away from home

Has dog been crate trained?

Dog's attitude toward the crate

If your dog just tolerates crate or dislikes it, please describe how he or she acts when in the crate

Briefly describe dogs eating habits (# of times a day, quantity, dry food, etc):

List of things you consider to be dog's good points

List of things you consider to be dog's bad points

What type of family/lifestyle do you think your dog needs to be happy?

What else do we need to know about your dog?

TGRR

intake-form2

Intake Form 2 - Help Us Get to Know Your Dog

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