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Daycare Applicant Questionnaire
Please tell us about you and your dog.
I
f you have a puppy younger than 6 mo. and want to get started in our mid-day puppy program, please email info@unleashedinevanston.com to get started right away!
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* Indicates required question
Your name:
*
Your answer
Your email:
*
Your answer
Your phone number:
*
Your answer
Dog's Name:
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Your answer
Dog's Breed (or best guess):
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Your answer
Dog's Sex:
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Female
Male
Dog's Reproductive Status
Spayed
Neutered
Intact (not fixed)
Clear selection
Dog's Weight (or estimated adult weight for puppies):
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Tiny - under 10 lbs.
Small - 10-30 lbs.
Medium - 30-50 lbs.
Large - 50-80 lbs.
Giant - 80+ lbs.
Dog's Age:
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Under 6 months
6-12 months
1-2 years
2-5 years
5-8 years
8+ years
What is the primary reason you're interested in daycare for your dog?
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Fun! They love other dogs
Companionship while you're away
Exercise
Training
To ease separation anxiety
To build confidence
To improve social skills with other dogs
Other:
Required
If you answered "To improve social skills with other dogs," please elaborate:
Your answer
How much experience does your dog have with other dogs from different households?
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A Lot - Interacts regularly with dogs from other households
Some - Has interacted with other dogs, but not regularly
A Little - Has interacted with other dogs, but only a few times
None - Has not interacted with dogs form other households
Other:
Describe your dog's social style.
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Life of the Party - Wants to play with every dogs they meet
Timid - Acts timid or fearful when interacting with other dogs
Aloof - Tends to ignore or peacefully coexist with dogs they meet
Slow to Warm Up - Acts timid or aloof at first but plays with dogs after getting to know them
Assertive & Friendly - Friendly with most dogs but can occasionally be tense/stiff/growly
Assertive - Often has tense or stiff greetings and sometimes displays aggression
Other:
Has your dog ever been in a fight? If so, please describe the circumstances.
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Your answer
How often would you like to bring your dog to daycare? Note: We require dogs to come about once a week to maintain familiarity with us and the other dogs.
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Once a week
Twice a week
3 times a week
4 times a week
5 times a week
Is limited ingredient lamb and rice kibble ok for your dog to have as treats while at daycare?
*
Your answer
Has your dog taken classes at our facility? If yes, which one(s)?
Your answer
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