Boarding & Day Care Owner Assessment Boarding & Day Care Owner Assessment In order to provide the best care possible for your pet, it’s important that we are familiar with their personality. For the safety of your pet and our kennel staff, please thoroughly complete the following questionnaire and personality assessment. Today's Date* Date Format: MM slash DD slash YYYY Owner Name* First Last Pet Name*Has your dog EVER (check all that apply):* Jumped a fence Been possessive with toys (towards animals or people) Had a history of eating foreign objects (i.e. rocks, toys bedding, etc.) Exhibited kennel aggression Been possessive of food Been possessive of water None How many feet high was the fence?Has your dog ever bitten another dog or person?*NoYesPlease explain the circumstances and how your dog reactedSpecial Needs. Please indicate all of the following that apply to your pet:* Light Appetite Stiff or limited mobility Deaf Difficulty taking medication Arthritic Blind/ limited sight Sensitive to heat Sensitive to cold Sensitive to touch Eye, ear or skin conditions None Please indicate what areas of the body your pet is sensitive to:Please indicate which area your pet has a condition and briefly describeHas your pet been diagnosed with a chronic disease/condition?*NoYesWhen?Approximate date or yearWhat Condition?How do you manage your pet’s condition at home?Do any restrictions need to be placed on your dog’s activity?*NoYesList restrictions in detail
