Client Forms | Perkins Paws

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Pet Details Questionnaire

Please complete the pet questionnaire to the best of your ability
Any mandatory fields that do not apply please state N/A in the comments box

PLEASE ALSO COMPLETE YOUR OWN DETAILS IN THE SEPERATE CLIENT QUESTIONNAIRE BELOW

Pet name*

Breed*

Age*

Gender*

Male

Female

Microchip number*

Feeding schedule (if required)*

Does your dog have any medical conditions, illnesses or physical limitations*

Does your dog have any allergies please state below?*

How would you describe your dog’s personality?*

How does your dog react to unfamiliar people?*

Very friendly

Friendly but cautious

Nervous

Avoids people

May bark/growl

Other

How does your dog react to other dogs?*

LOVES meeting dogs

Friendly

Selective with dogs

Nervous

Reactive

Does not like other dogs

Other

How does your dog act around children?*

How does your dog act around other animals such as livestock / horses / wildlife?*

What commands does your dog reliably respond to / what recall or word do you use?*

Does your dog walk with collar, harness or both?*

collar

harness

both

Does your dog pull on the lead?*

Yes

Occasionally

Does your dog behave when passing other dogs on leads?*

Yes

Other

Can your dog be walked off the lead?*

Yes

Other

If your dog has a reliable call do you give permission for your dog to be walked off the lead?*

Yes

Other

What type of walks does your dog enjoy most?*

Long walks

Short walks

Lots of sniffing

Fast pace/ running

Playing / Chasing ball

Quiet walks

Socialising with other dogs

Can your dog have treats?*

Yes

Other

Where will your dog be collected from for walks?*

Full day care clients confirm the below*

I require collect/drop off dog from MY home

I will collect/drop dog off at YOUR home (Perkins Paws, Seaton)

How will I access your property?*

Someone will be home

Key

Key safe ( To be discussed further at appointment)

Other

Does your pet have insurance? *

Has your dog been neutered/spayed?*

Yes

Please upload a photo of your dog*

Are you happy for me to take photographs/videos of your dog while they are in my care?*

Yes

Are you happy for photographs/videos of your dog to be used on my business social media/website for promotional purposes?*

Yes

Owner Details Questionnaire

Please complete this form to provide essential emergency contact and veterinary information for your pet's safe and happy care experience.

Personal Information

First name*

Last name*

Home address

Country/Region*

Address*

City*

Zip / Postal code*

Phone number*

Email address*