New Dog Client Intake Form 
Please fill out these questions as best you can for the earliest services you're seeking! 
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Email *
Your name *
Phone number *
What services are you interested in? *
Required
What area of Nanaimo do you live in?  *
Is this a long term need or just temporary?  *
Do you require any specific dates/days of the week/time of day? *
When would you like services to start? *
Describe your dog(s) size, age, and breed *
How long have you had your dog? *
Does your dog have any history of aggression, reactivity, or biting other dogs or humans? Explain. *
Any other behavioural issues I should be aware of or special requirements? *
Is your dog up to date on kennel cough and rabies vaccine? *to be in my vehicle or socializing with other dogs
 *
Have you ever used a professional dog walker or pet service previously? If so what company or their name? If so, is there a reason you are choosing to not use their services this time? *
How did you find Dee's Dogs? *
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