Tailspin Petworx Puppy New Client Form
Client and puppy information
Email address *
Client Name (Please list Spouse/Partner if applicable) *
Your answer
Phone Numbers (Name and Cell#) *
Your answer
Street Address: *
Your answer
Unit Number
Your answer
City and Province *
Your answer
Postal Code *
Your answer
Email Address (Please enter your email again, thanks) *
Your answer
Do you have a buzzer Code at your building? If so, please enter it below. *
Your answer
Is there parking available? *
Parking Details *
Your answer
Phone Number(s) Please specify who belongs to each number and if it is a cell or landline. Thanks! *
Your answer
Puppy's Name *
Your answer
Breed or Breed Mix *
Your answer
Male or Female? *
Date of Birth/Age of Puppy *
Your answer
Where did you get your Puppy? *
What is the name of the Breeder/Rescue or Shelter? *
Your answer
How old was your Puppy when you acquired it? *
Your answer
Is your Puppy spayed or neutered? *
What age was the Puppy spayed or neutered? *
How would you describe your Puppy's personality? *
Your answer
Who is your Puppy's Veterinarian? (Name and Phone number) *
Your answer
What is the Veterinary Clinic's email address? *
Your answer
Has your Puppy had or been treated for parasites? What kind? *
Your answer
What vaccines has your Puppy had? *
Required
Does your Puppy have any health issues? *
If there are health issues, what are they? *
Your answer
Is your Puppy on Medications or Supplements? What Kind? *
Your answer
Have you had a Puppy before? *
Where does Puppy go when you are not home or at night? *
Your answer
What do you feed your Puppy? *
Required
What brand of food? *
Your answer
Sensitivities to Food or treats? What Kind? *
Required
Feeding Schedule *
How many others live in the home? What are their names and ages? *
Your answer
Is there anyone in your home (human or animal) that has special needs? *
Your answer
Does anyone in your home have food allergies? What kind? *
Your answer
Are there other Pets in the Home? Please list below. *
Your answer
Will you be doing sports or specialty training in the future with your Puppy? *
If yes, what sports are you interested in?
Are you planning on doing Therapy Dog work with your Puppy/Dog? *
Will your Puppy be a Service Dog for anyone? *
Will you be attending Dog Parks with your Puppy? *
Will your Puppy be going with a Professional Dogwalker or to a Doggy Daycare? *
Required
What training tools are you currently using with your Puppy? Check all that apply *
Required
What is your idea of a good Dog? What are your goals in training? *
Your answer
What things do you want to focus on first? *
Required
How did you hear about Tailspin Petworx? *
Please tell me who referred you so I can thank them!
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy