Blessed Paws Daycare Assessment | Owner Behavior Evaluation
Please take a moment to fill out the following assessment form to provide our facility with some preliminary information about your pet. If you have more than one pet, please submit an additional form after completing this one.

This form will be used to make sure we can keep your pet and others as comfortable as possible while in our daycare. If you have a puppy that has never been introduced to these circumstances, we recommend taking him/her to a dog-friendly area to see how he/she reacts to give you more information. It is our goal at Blessed Paws to make sure we are providing a fun and safe environment. We take responsibility of caring for your pets very seriously. We ask that you be as truthful as possible so we can best assess and make the best plan for you and your dog.
Email address *
Name of Owner (First & Last) *
Your answer
Name of Pet *
Your answer
Excitability
Some dogs show little reaction to exciting events while others can become highly overstimulated. Please indicate below the best number possible in the following circumstance.
Just before taking a car trip my dog is... *
Calm: Little to no special reaction
Extremely Excitable: Overreacts and is hard to calm down
Just before taking a walk my dog is... *
Calm: Little to no special reaction
Extremely Excitable: Overreacts and is hard to calm down
Fear and Anxiety
Dogs can often experience fear or anxiety in a new environment, with new people, new dogs, new sounds and overall general situations. Please indicate below the best number possible in the following circumstance.
When approached directly or petted by an unfamiliar person when you are away, my dog shows... *
No visible signs of fear or anxiety
Extreme fear and anxiety (cowers, retreats, hides, etc)
General response to unfamiliar objects like plastic trash bags, leaves, litter, flags, my dog shows... *
No visible signs of fear or anxiety
Extreme fear and anxiety (cowers, retreats, hides, etc)
When barked, growled, or lunged at by an unfamiliar dog my dog shows... *
No visible signs of fear or anxiety
Extreme fear and anxiety (cowers, retreats, hides, etc)
General response to owners not being present, my dog shows... *
No visible signs of fear or anxiety
Extreme fear and anxiety (cowers, retreats, hides, etc)
Aggressive Responses
Aggression is a very natural response in a dog. All dogs can have the ability to display aggression from time to time. Please indicate below the best number possible in the following circumstance.
When approached directly by an unfamiliar person while being walked on a leash my dog shows... *
No visible signs of aggression
Serious signs of aggression (snaps, bites, attempts to bite)
When toys, bones, or other objects like for are taken away by a household member my dog shows... *
No visible signs of aggression
Serious signs of aggression (snaps, bites, attempts to bite)
When approached directly by a household member while eating my dog shows... *
No visible signs of aggression
Serious signs of aggression (snaps, bites, attempts to bite)
When approached by an unfamiliar dog on a leash my dog shows... *
No visible signs of aggression
Serious signs of aggression (snaps, bites, attempts to bite)
When barked, growled, or lunged at by an unfamiliar dog my dog shows... *
No visible signs of aggression
Serious signs of aggression (snaps, bites, attempts to bite)
Training and Obedience
Has your dog ever attended basic obedience training in a group or single dog setting? *
Does your dog obey/know "sit"? *
Does your dog obey/know "off"? *
Has your dog ever experienced an incident that involved your dog having to fight, whether it was a defensive response or offensive response? Please explain. *
Your answer
Does your dog have any quirks that we should know about behaviorally? For example, "She doesn't like her paws touched." or "She doesn't like to be pet near her ears."? *
Your answer
Does your dog have any medical quirks that we should know about that might affect her daily activities during daycare? For example, "She has arthritis in her back legs." or "She has tender paws and may need rest more than others." ? *
Your answer
Please provide us with any additional details you feel we should know about your pet. *
Your answer
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