Dog evaluation form

Dog History and Information
Your Full Name

First Name Last Name
Dog's Name
Dog's DOB/Age
Dog's Color/Markings
Dog Breed/Sex/Spayed or Neutered
Feeding: What type and brand of Food Does your dog eat? Where are the food and water bowls kept? When does your dog eat?
We carry Milk Bone Treats, is your Dog allowed to have them? If not, do you provide a specific type of treat?
Allergies to medication or vaccination

Yes No
If Yes, Please explain
Medication(s): Please describe any Medication procedures including name, dosage and where it is kept.
Does Your Dog Obey Basic Commands?

Yes No Sometimes
If Yes, what Commands does your Dog know?
Is taken for walks

Yes No
Uses backyard for exercise and play

Yes No
Is taken to groomers

Yes No
Is sometimes visited or visits other dogs

Yes No
Attends obedience or training classes

Yes No
Is fearful of noises or other things (thunder storms)

Yes No
Has been through flea control medication

Yes No
Brand of flea control used *
Aggressive towards other people or dogs

Yes No
If Yes, please explain when your Dog is Aggressive
Does your Dog have a favorite hiding place?
Where do you keep the collar and leash/harness?
Please provide us with any Additional Information to help us make your Dog Happy At Home!
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Dog History and Information