Puppy’s Playpen Personality Profile

(913)648-DOGS(3647)
Fax: 913-649-7877
Email: info@puppysplaypen.com

Owners Name (required)

Owners Email (required)

Owners Phone Number

Dog's Name

1. Has your dog done Daycare or Boarding before?

2. Has your dog ever been to a dog park?

3. How did you hear about Puppy’s Playpen?

4. Where did you get your dog?

When did you get your dog?

5. Dog’s breed, sex, age:

6. Is your dog spayed or neutered?
YesNo
If not, when do plan on spaying/neutering?

Disclaimer: we require that your dog be spayed/neutered to do Daycare and Boarding.

7. If adopted, do you have any knowledge of your dog’s past history?

8. Has your dog ever been abused by a person?

9. Does your dog like children?
YesNo
How does your dog behave around children?

10. Are there other animals in your household? If so, please list type, sex and age of each:

11. Do you consider your dog good with other dogs?

Please explain:

12. If another dog comes up to your dog and sniffs your dog, how will your dog react?

13. Has your dog ever been attacked by another dog?

Health/Grooming

14. Does your dog have a problem with fleas?

Allergies?

15. Is your dog currently on a topical flea preventative? (Ex: Frontline, Advantage, Advantix, etc.)

If so, when was the last dose given?

16. Does your dog have any health issues we need to be aware of?

17. Has your dog ever been diagnosed with Kennel Cough?
YesNo
If so, when and how was it treated?

18. Does your dog have hip dysplasia?
YesNo
If yes, what restrictions need to be placed on your dogs activities or movements?

19. Does your dog have any sensitive areas on his/her body?

20. Does your dog have a sensitive stomach to foods other than their own?

21. Where are your dog’s favorite petting spots?

Behavior

22. Does your dog act afraid of any specific items or noises? If so, please explain:

23. How does your dog react to strangers coming into your home or yard?

24. Are there any kind of dogs your dog automatically fears or dislikes?

25. How does your dog react to puppies?

26. Has your dog ever:
Growled at anyone?
YesNo
What were the circumstances:

Bitten someone?
YesNo
What were the circumstances:

Bitten another dog in an aggressive way?
YesNo
What were the circumstances?

27. Does your dog have any problems in any of the following areas?(if so, please explain)
Housetraining:

Barking:

Digging:

Jumping:

28. What command do you use to deter your dog from jumping?

29. Has your dog ever growled or snapped at anyone who has taken his/her food or toys away from him/her?
YesNo
What were the circumstances?

30. Has your dog ever shared his/her food or toys with other animals?

31. Does your dog have a problem with going into a crate?

32. Is your dog possessive of their space? ex. Crate, couch, or
bed?

33. Has your dog ever had formal obedience training?
YesNo
If yes, when and where?

34. What commands does your dog know?

35. Is your dog collar aggressive? For example if we try and lead your dog by their collar will they be fine with it or uncomfortable?

36. Does your dog like to mark his/her area when they are in another place other than your home?

37. Other comments about your dog which you feel might be helpful: