Pau Hana Pet Resort
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New Dog Questionnaire
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Home
Pau Hana Pet Resort
Where Pets Play in Paradise
Log In
Become A Client
Dog Boarding
Doggy Daycare
Drop-in Visits
Terms of Service
Pricing
New Dog Questionnaire
Gallery
Contact Us
New Dog Questionnaire
Owners Name
*
First Name
Last Name
Dog's Name
*
Breed
*
Weight
*
Date Of Birth
*
Microchip Number
Gender
*
Male
Female
Spay/Neutered
*
Yes
No
Additional Dog's Name
Breed
Weight
Date Of Birth
Microchip Number
Gender
Male
Female
Spayed/Neutered
Yes
No
Additional Dogs Name
Breed
Weight
Date Of Birth
Microchip Number
Gender
Male
Female
Spayed/Neutered
Yes
No
Please describe your dog's temperament
*
What are your dog's eating habits ?
*
Has your dog been around other dogs before? If so, how did he/she respond?
*
Has your dog ever growled, snapped, or bitten anyone before? Was the skin broken? If yes, please explain the circumstances
*
How does your dog respond to new dogs?
*
How does your dog respond to getting a bath?
*
Does your dog have a tendency to escape?
*
Has your dog had any of the following communicable diseases/conditions in the past 90 days? Check all that apply
*
Kennel Cough
Conjunctivitis
Diarrhea
Ear Mites
Fleas/Ticks
Mange
Parvovirus
Blood in Stool/Urine
Worms/Parasites
None
All dogs must be up-to-date on all vaccinations. Has your dog been vaccinated against the following diseases? Check all that apply
*
Must provide documentation
Distemper
Hepatitis
Leptospirosis
Parainfluenza
Parvovirus
Bordetella
Does your dog have any known food or environmental allergies? What are they? How are they being treated?
*
Please provide any additional information you feel necessary to ensure the well being of your dog and others
Thank you!
