Fear Free℠ Grooming Intake Form
Our goal is to ensure your pet's grooming experience is as free of stress and anxiety as possible. To assist us in meeting that goal, please complete the following intake form. Once we better understand your pet's needs we will contact you to schedule an appointment time that works for your schedule.

Thank you very much, we are grateful to have you as part of the Stepping Stone family.
Email address *
General Information
Your name: *
Your answer
How did you find out us? *
Your answer
Telephone number: *
Your answer
Your pet's name: *
Your answer
Breed or breed mixture:
Your answer
Age
Your veterinary hospital name:
Your answer
Preferred veterinarian name:
Your answer
What medications is your dog currently taking? Are there any health issues we should know about?
Your answer
Body Handling Information
Please rate how you believe your pet feels about being touched in the following areas by someone like a veterinarian or groomer
Top of head
Enjoys being touched
Dislikes being touched
Ears
Enjoys being touched
Dislikes being touched
Face
Enjoys being touched
Dislikes being touched
Mouth
Enjoys being touched
Dislikes being touched
Chest
Enjoys being touched
Dislikes being touched
Front legs
Enjoys being touched
Dislikes being touched
Front feet
Enjoys being touched
Dislikes being touched
Front toenails
Enjoys being touched
Dislikes being touched
Back
Enjoys being touched
Dislikes being touched
Base of tail
Enjoys being touched
Dislikes being touched
Tail
Enjoys being touched
Dislikes being touched
Under tail
Enjoys being touched
Dislikes being touched
Back legs
Enjoys being touched
Dislikes being touched
Back feet
Enjoys being touched
Dislikes being touched
Back toenails
Enjoys being touched
Dislikes being touched
Abdomen
Enjoys being touched
Dislikes being touched
History:
Please describe your pet's past experiences.
Describe your pet's behavior at the veterinary hospital:
Your answer
What have you been told your pet is like when being groomed?
Your answer
Please feel free to add additional information you feel might be helpful.
Your answer
Thank you very much for you help. We will be back in touch shortly to schedule your pet's Fear Free℠ grooming appointment.
Please note: We required dogs to be up to date on their DHLP-P, Bordatella (Kennel cough) and Rabies (if over 16 weeks of age).
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