Dog Daycare Evaluation Form Owner's Name(Required) First Last Owner's Address(Required) Street Address City PAAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Owner's Phone Number(Required)Owner's Email Address(Required) Dog's Name(Required) Dog's Age/DOB(Required) Dog's Breed(s)(Required) How long have you had them?(Required) Spayed/Neutered?(Required) Yes No If not, when will they get altered?(Required) Has your dog come to either of our locations previously?(Required) Yes No Please provide as much information as possible:Do they regularly play/interact off leash with other dogs?(Required) Yes No If yes, what size/types of dogs?(Required) Have they ever played in an off leash group play environment before?(Required) Yes No Where?(Required) Another Daycare Dog Park Home At a friend's/neighbor's Other If yes to having played in an off leash environment before, how many dogs do they play with at a time?(Required) 1 to 3 dogs 4 to 8 dogs 8 or more dogs How long has it been since they have played with dogs?(Required) Past 2 weeks 2 to 5 months 6 months to 1 year Longer What is their play styles like?(Required) Chase/Be Chased Rough & Tumble Gentle Play Other What is their play style like -- other(Required) What are their favorite daily activities?(Required) Walks Plays with toys Loves to learn new things Cuddle time Couch potato Other What are their favorite daily activities -- other(Required) Does your dog do any of the following:Play with a hose?(Required) Yes No Enjoy water play?(Required) Yes No Guard any items?(Required) Yes No Run or fight at fence lines?(Required) Yes No Have leash reactivity?(Required) Yes No Display any destructive behaviors?(Required) Yes No Display herding behavior with other dogs or people?(Required) Yes No Display a prey drive with small animals/wildlife?(Required) Yes No Display stress or anxious behaviors to the following?(Required)Please check all that apply: New people New dogs Loud noises Nail trims Baths Other None Display stress or anxious behaviors to the following -- other?(Required) Lack confidence/is overly timid?(Required) Yes No Have uncertainty with any specific size or breeds of dogs?(Required) Yes No Have they ever bit, been bitten or had any negative experiences with another dog or human?(Required) Yes No Do you use a crate at home?(Required) Yes No If yes, do they do well in it?(Required) Yes No Have they ever jumped over or dug under a fence?(Required) Yes No Please describe your dog and their personality to help us have a better idea of which of our daycare programs might be the best option for them.(Required)Our in-depth evaluation will give us more detail, but you know your dog better than anyone, so this information will give us a great starting point.What do you hope to achieve with Doggie Daycare?(Required) Socialization Reduced Energy Training Help Other What do you hope to achieve with Doggie Daycare -- other?(Required) EmailThis field is for validation purposes and should be left unchanged. Δ Dog Daycare Evaluation Owner's Name(Required) First Last Owner's Address(Required) Street Address City PAAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Owner's Phone Number(Required)Owner's Email Address(Required) Dog's Name(Required) Dog's Age/DOB(Required) Dog's Breed(s)(Required) How long have you had them?(Required) Spayed/Neutered?(Required) Yes No If not, when will they get altered?(Required) Has your dog come to either of our locations previously?(Required) Yes No Please provide as much information as possible:Do they regularly play/interact off leash with other dogs?(Required) Yes No If yes, what size/types of dogs?(Required) Have they ever played in an off leash group play environment before?(Required) Yes No Where?(Required) Another Daycare Dog Park Home At a friend's/neighbor's Other If yes to having played in an off leash environment before, how many dogs do they play with at a time?(Required) 1 to 3 dogs 4 to 8 dogs 8 or more dogs How long has it been since they have played with dogs?(Required) Past 2 weeks 2 to 5 months 6 months to 1 year Longer What is their play styles like?(Required) Chase/Be Chased Rough & Tumble Gentle Play Other What is their play style like -- other(Required) What are their favorite daily activities?(Required) Walks Plays with toys Loves to learn new things Cuddle time Couch potato Other What are their favorite daily activities -- other(Required) Does your dog do any of the following:Play with a hose?(Required) Yes No Enjoy water play?(Required) Yes No Guard any items?(Required) Yes No Run or fight at fence lines?(Required) Yes No Have leash reactivity?(Required) Yes No Display any destructive behaviors?(Required) Yes No Display herding behavior with other dogs or people?(Required) Yes No Display a prey drive with small animals/wildlife?(Required) Yes No Display stress or anxious behaviors to the following?(Required)Please check all that apply: New people New dogs Loud noises Nail trims Baths Other None Display stress or anxious behaviors to the following -- other?(Required) Lack confidence/is overly timid?(Required) Yes No Have uncertainty with any specific size or breeds of dogs?(Required) Yes No Have they ever bit, been bitten or had any negative experiences with another dog or human?(Required) Yes No Do you use a crate at home?(Required) Yes No If yes, do they do well in it?(Required) Yes No Have they ever jumped over or dug under a fence?(Required) Yes No Please describe your dog and their personality to help us have a better idea of which of our daycare programs might be the best option for them.(Required)Our in-depth evaluation will give us more detail, but you know your dog better than anyone, so this information will give us a great starting point.What do you hope to achieve with Doggie Daycare?(Required) Socialization Reduced Energy Training Help Other What do you hope to achieve with Doggie Daycare -- other?(Required) NameThis field is for validation purposes and should be left unchanged. 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