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home boarding ( 3 dogs )

Transportation Required

Collection

Drop Off

Your Details

Name *

First Name

Last Name

Address (inc Postcode) *

Home Phone No.

Work Phone No.

Mobile Phone No. *

Email *

Alternative Contact Details

Alternative contact must be in the UK at time of your absence and be willing to take the dog in the event of an emergency or if the dog is not settling in well with us.

Name *

First Name

Last Name

Relationship To Client *

Address (inc Postcode) *

Home Phone No. *

Work Phone No.

Mobile Phone No. *

Emergency Contact

Name Of Vet Practice Registered *

Address (inc Postcode)

Contact Phone No.

About Your Dog(s)

Dog 1

Dogs name

Date Of Birth (if known)

Breed

Sex

Male

Female

Colouring/ unique characteristics

Is dog 1 vaccinated?

All dogs in our care MUST be up to date with vaccinations.

Yes

No

Date Of Last Vaccination

Date Of Last Worming Treatment

Date Of Last Flea Treatment

Is dog 1 neutered?

Yes

No

Insurance

Yes

No

Microchip Number

By law, all dogs must be micro-chipped. Please ensure your details are up-to-date

Please state any known health issues/ allergies

Is Dog 1 on any medication?

Yes

No

If answered 'Yes' please give detailed and clear information regarding any medication your dog is on. Include, name of medicine, dosage, frequency. Please also ensure you provide ample medication to last your dogs stay.

Please state any known behavioural issues/ requirements

Is dog 1 crate trained?

Yes

No

Has dog 1 stayed away from home before?

Yes

No

If answered 'Yes', How did they cope?

Where does dog 1 usually sleep?

Please give details of dog 1's feeding routine.

Please give detailed information on type of food, amounts and how often they are fed daily.

How is dog 1's recall?

VERY GOOD (responds and recalls quickly in most situations)

GOOD (comes back most of the time)

MODERATE (can take a while to respond but recalls eventually)

POOR (doesn't respond)

Does dog 1 have a harness?

It's mandatory that all dogs in our care wear a harness whilst walking.

Yes

No

Short Survey (Dog 1)

Please answer the following statements truthfully.

My dog pulls on the lead

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog is likely to resource guard

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog jumps up on furniture

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog jumps up at people

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog has separation anxiety

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog tends to bark/ whine alot

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog is likely to chew/ scratch furniture

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog tends to urinate/ scent mark or mess in the home

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Any further information which may be useful?

Dog 2

Dogs name

Date Of Birth (if known)

Breed

Sex

Male

Female

Colouring/ unique characteristics

Is dog 2 vaccinated?

All dogs in our care MUST be up to date with vaccinations.

Yes

No

Date Of Last Vaccination

Date Of Last Worming Treatment

Date Of Last Flea Treatment

Is dog 2 neutered?

Yes

No

Insurance

Yes

No

Microchip Number *

By law, all dogs must be micro-chipped. Please ensure your details are up-to-date

Please state any known health issues/ allergies

Is Dog 2 on any medication?

Yes

No

If answered 'Yes' please give detailed and clear information regarding any medication your dog is on. Include, name of medicine, dosage, frequency. Please also ensure you provide ample medication to last your dogs stay.

Please state any known behavioural issues/ requirements

Is dog 2 crate trained?

Yes

No

Has dog 2 stayed away from home before

Yes

No

If answered 'Yes', how did they cope?

Where does dog 2 usually sleep?

Please give details of dog 2's feeding routine

Please give detailed information on type of food, amounts and how often they are fed daily.

How is dog 2's recall?

VERY GOOD (responds and recalls quickly in most situations)

GOOD (comes back most of the time)

MODERATE (can take a while to respond but recalls eventually)

POOR (doesn't respond)

Does dog 2 have a harness?

It's mandatory that all dogs in our care wear a harness whilst walking.

Yes

No

Short Survey (Dog 2)

Please answer the following statements truthfully.

My dog pulls on the lead

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog is likely to resource guard

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog jumps up on furniture

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog jumps up at people

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog has separation anxiety

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog tends to bark/ whine alot

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog is likely to chew/ scratch furniture

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog tends to urinate/ scent mark or mess in the home

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Any further useful information

Dog 3

Dogs name

Date Of Birth (if known)

Breed

Sex

Male

Female

Colouring/ Unique Characteristics

Is dog 3 vaccinated?

All dogs in our care MUST be up to date with vaccinations.

Yes

No

Date Of Last Vaccination

Date Of Last Worming Treatment

Date Of Last Flea Treatment

Is dog 3 neutered?

Yes

No

Insurance

Yes

No

Microchip Number *

By law, all dogs must be micro-chipped. Please ensure your details are up-to-date

Please state any known health issues/ allergies

Is Dog 3 on any medication?

Yes

No

If answered 'Yes' please give detailed and clear information regarding any medication your dog is on. Include, name of medicine, dosage, frequency. Please also ensure you provide ample medication to last your dogs stay.

Please state any known behavioural issues/ requirements

Is dog 3 crate trained?

Yes

No

Please give details of dog 3's feeding routine

Please give detailed information on type of food, amounts and how often they are fed daily.

Has dog 3 stayed away from home before

Yes

No

If answered 'Yes', how did they cope?

Where does dog 3 usually sleep?

How is dog 3's recall?

VERY GOOD (responds and recalls quickly in most situations)

GOOD (comes back most of the time)

MODERATE (can take a while to respond but recalls eventually)

POOR (doesn't respond)

Does dog 3 have a harness?

It's mandatory that all dogs in our care wear a harness whilst walking.

Yes

No

Short Survey (Dog 3)

Please answer the following statements truthfully.

My dog pulls on the lead

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog is likely to resource guard

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog jumps up on furniture

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog jumps up at people

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog has separation anxiety

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog tends to bark/ whine alot

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog is likely to chew/ scratch furniture

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog tends to urinate/ scent mark or mess in the home

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Any further useful information?

Thankyou for completing the form. We will provide you with a hard copy of our terms and conditions to sign, you will also receive a copy to keep for your own records.

Please provide us with a photo or photocopy of your dogs vaccination records which can be emailed to laura@geopaw.dog or sent to us via facebook.com/geopawpremiumglenrothes

Kind thanks

Geopaw Premium - Professional Dog Services

Cowdenbeath & Glenrothes

info@geopaw.dog

Hours

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Wed All Day

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Sat All Day

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