ResPet Doggie Data
Owner's Data
Your Name *
Your answer
Phone *
Your answer
Email *
Your answer
How would you prefer for us to contact you? *
Your answer
ResPet is for people who have NO OTHER ALTERNATIVE/financial ability to care for their dog and are experiencing a personal crisis. Does this describe your current situation? *
What circumstances have lead you to needing ResPet Services? *
Your answer
What date do you need ResPet services to start: *
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How long do you foresee needing temporary care for your pet? *
Your answer
ResPet's aim is to re-unify pets with their owners after crises. Will you be coming back for your pet? *
Doggie's Data
Your Dog's Name *
Your answer
Breed *
Your answer
Color(s) *
Your answer
Distinctive Markings/Features *
Your answer
Is your dog Neutered or Spayed? *
Choose one: *
Weight *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Veterinarian name *
Your answer
Phone Number *
Your answer
Dog Commands *
Your answer
Medical Information
Current Medical Conditions *
Your answer
Medications and Dosage *
Your answer
Feeding Instructions
Will you be bringing food for your dog? *
Food Brand
Your answer
Quantity
Your answer
If you can not provide food, it is likely your dog will be fed a different brand of food than your dog is used to.
Food Restrictions? *
Your answer
Food Allergies? *
Your answer
May Your Dog Get Dog Treats? *
Can your dog chew bones? *
What time does your dog typically eat?
We try to stay as close to the typical times when possible for your dog as to keep a sense of normalcy
Morning Time *
Your answer
Afternoon Time *
Your answer
Describe normal bowel movements for your dog *
This is to ensure we know if there is an issue versus what is typical
Your answer
What times do you typically take your dog out to relieve him/herself? *
Your answer
Can your dog eat pumpkin for loose stools? *
Do you put your dog's water up at a certain time to prevent accidents during the night? *
Do you allow your dog on furniture? *
In your bed? *
How long have you had your dog? *
Your answer
If adopted, do you have any knowledge of your dogs past social history?
Your answer
Has your dog ever been to daycare? *
Boarding? *
If so, when was the last time?
Your answer
What facility?
Your answer
Describe your dog’s play style with other dogs: *
Your answer
How many dog friends does your dog have that he/she plays with regularly? *
Your answer
Is your dog territorial when unexpected people come over? *
What is the best approach for people to take when first meeting your dog to keep him/her calm? *
Your answer
Has your dog ever been away from you before? *
If yes, how long?
Your answer
Who did your dog stay with?
Your answer
If yes, what was the feedback you got about when you were separated?
Your answer
What does your dog do when he/she gets upset? *
Your answer
Has your dog ever bitten anyone? *
If yes, please list when and the circumstances
Your answer
What is the best way to calm your dog down if frightened? *
Your answer
Can a food item/bone be taken away from your dog without him/her biting? *
If no, please explain:
Your answer
Is there any particular person, dog, experience or situation that seems to trouble your dog? *
Your answer
Has your dog ever jumped a 5 foot high fence? *
Does your dog dig in yards? *
Do you give your permission for your dog to go to dog parks? *
Can your dog go on hikes? *
What is the longest amount of time your dog can walk or hike? *
Your answer
Will your dog do well in a home with other dogs? *
Will your dog do well in a home with cats? *
Children? *
Will anyone be visiting your dog during his/her time with ResPet? *
What can we do to ensure your dog is happy while staying with us? *
Your answer
Please list any other information about your dog that may be helpful to us:
Your answer
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