Application for Chateau Briarcliff Services

Chateau Briarcliff Questionnaire

BRIARCLIFF PET RESORT

Owners Name:

Phone:

Email:

Address:

City:

State;

Zip:

Dogs Name:

Breed:

Sex:

Male Female

Dogs Weight:

Dogs DOB:

Altered

Yes No

Veterinarian

Allergies

Is your dog house trained or potty trained:

Is your dog crate trained:

Where does your dog normally eat and will they eat in a crate:

Has your female had a season and how often does she come in heat:

Does your dog chew beds, toys, etc:

Would you consider your dog vocal:

Does your dog dig:

Has your dog ever jumped a fence:

Does your dog lift his leg to potty:

On a scale of 1 to 10 how dominate or submissive is your dog (10 very dominate 1 very submissive):

Is your dog protective of his/her food or toys:

Does your dog play rough or gentle:

Does your dog like or not like his/her same sex, the opposite sex:

Does your dog have a problem with certain dogs *hairy, small, black dogs, etc:

Has your dog ever growled or grumbled at another dog:

If yes explain:

Has your dog ever bit, bit at, or gotten into a fight with another dog:

If yes explain:

Has your dog ever growled or grumbled at a person:

Has your dog ever bit or bit at a person:

Any additional information you think would be helpful: