Behavior Consultation Questionnaire
Client Full Name *
Phone Number *
Email Address *
Pet's Name *
Pet's Age *
Pet's Breed *
Your current Veterinarian *
Current Veterinarian's Number & Address *
Is your pet spayed/neutered? *
Where did you obtain this pet? Friend, breeder, pet shop, humane society, other? *
For what purpose was the pet obtained? Companionship, protection, breeding, show, other *
Where does your pet primarily stay? *
Is the pet left alone during the day? *
If your pet is left alone during the day, how long?
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