Dog Behaviour Questionnaire
Contact Bea at info@embarkpetcare.com.au or 0424 166 167 with any questions or concerns.
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Email *
Which SERVICE are you interested in? *
Required
FIRST NAME *
LAST NAME *
Are you the LEGAL OWNER of this dog (as per council/microchip registration)? *
PHONE NUMBER *
ADDRESS *
DOG'S NAME *
What BREED/CROSSBREED is your dog? (Best guess is okay :)
What is your dog's DATE OF BIRTH?
MM
/
DD
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YYYY
CURRENT AGE of your dog *
Your dog's GENDER *
Is your dog SPAYED/NEUTERED? *
How OLD was your dogs when s/he got desexed?
How many MEMBERS OF THE FAMILY are in day-to-day contact with your dog? If you have any kids, what ages are they? *
Do you have OTHER PETS ot home? If yes, what species, breed, age are they? *
Where did you get your dog FROM? *
How OLD was your dog when you got him/her? *
Why did you CHOOSE this breed/particular dog?
Have you attended any FORMAL DOG TRAINING with your dog? (group training classes, one-one-one training) *
Required
Does your dog have any MEDICAL CONDITIONS that you are aware of? Please explain. *
Is your dog on any MEDICATION at the moment? If yes, what medication? *
What TICK/FLEA/WORMING product are you currently using for your dog and how often? *
When is your dog's next VACCINATION due? *
Who is your current VET/VET CLINIC? *
Are your dog's MICROCHIP details up-to-date? *
What are your dog's FAVOURITE FOOD items? Please name TOP 3 treats/rewards. *
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