CCAC Spa & Resort Pet Personality Questionnaire Country Club Animal Clinic

Dog's Name *

Owner's Last Name *

Date you acquired your dog (mm/dd/yyy)

From Where?

Does your dog play with toys?

Yes

If yes, what toys/games does your dog enjoy?

Has your dog ever shared toys with other animals?

Yes

Has your dog ever growled or snapped at any person or other dog who has attempted to take a toy away?

Yes

If so, explain:

Has your dog ever played with other dogs?

Yes

If so, how regularly?

And if so, describe the play style

Any known issues with other dogs?

How does your dog react to strangers coming into your home or yard?

How does your dog react to anyone passing outside your home or yard?

Are there any kinds of people that your dog automatically fears or dislikes?

Has your dog ever growled at someone?

Yes

If so, please explain:

Does your dog walk on a leash?

Yes

If so, describe your dog’s leash manners:

How does your dog react to other people when on leash?

How does your dog react to other dogs when on leash?

How does your dog react to strangers coming into your home or yard?

Are there any kinds of people that your dog automatically fears or dislikes?

Has your dog ever growled at someone?

Yes

If so, please explain:

Has your dog ever bitten someone?

Yes

If so, please explain:

Has your dog ever had formal training?

Yes

If yes, when and where?

Is your dog comfortable in a crate?

Yes

If not, how does your dog react?

Does your dog have hip dysplasia?

Yes

If yes, what restrictions need to be placed on your dog’s activities or movements?

Does your dog have any sensitive areas on its body?

Any other comments or special accommodation requests for your dog which you feel may be helpful(Please describe)

This information is accurate to the best of my knowledge. I understand that Country Club Spa & Resort will make decisions that affect the care and safety of my dog, other dogs, and the staff based on this information, and that it is my responsibility to update the information as I am aware of changes.

Owner’s Signature *

Date *

CCAC Spa & Resort Pet Personality Profile At Country Club Animal Clinic

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