Client Questionnaire Please fill this questionnaire out in full for each dog that will be boarding with us. Pet Parent Full Name Please list dates of boarding here Full Address Contact Phone Email Address Emergency Contact Information (list name & phone #) Veterinary Contact (list name & phone #) Pet Name and Breed Pet Date of Birth (or approximate age), Sex, and Color Feeding Information Bring your ownKennel provided Feeding instructions: Please list amount for each feeding (AM/PM) and any special instructions. Please put NA in the box if not relevant. Does your dog have any allergies NoYes Would you object to your dog receiving treats during their stay? NoYes Please check for required vaccines*** Rabies Parvo/Distemper (DHPP) Bordatella ***Please provide ZenDog Inn with required vaccine paperwork either by uploading with this form or during in person drop off. Is your pet spayed/neutered? YesNo Does your pet require medication? If yes, please provide information in the next box. YesNo Medication instructions (please put NA in the box if not relevant) Please check all that apply*** Pet bites Pet has bitten Pet well socialized with people Pet well socialized with other animals Pet has shown aggression towards a person or animal Pet has exhibited problem barking behaviors Pet jumps Pet is an "escape artist" Pet can climb or jump a 6 foot fence (chain link or stockade) Pet guards items (food bowl, toys, etc) Pet chews/shreds/destroys items ***This section is to help us know your pet's personality a little better. Please take the opportunity to further explain if you checked any of the boxes above. Be as specific as you can.*** ***For barking behaviors, what has helped to quiet and soothe them in the past? Please tell us anything special you would like us to know about your pet in this space that will help us with their care. For example, are they fearful of thunder? Shy but will warm up? Scared of men? Collar sensitive? Etc. We encourage you to bring items from home that will help your pet's stay be more enjoyable and comfortable (i.e. favorite toy, treat, blanket). What will you bring for their stay? What time will you be dropping off? What time will you be picking up?*** ***Pet must be picked up by 2:00 pm following an overnight or there will be a charge for that day. I acknowledge ZenDog Inn hours of operation as being Monday - Saturday 8:30 am - 6:30 pm and Sundays 9:00 - 11:00 and 4:00 - 6:00. All pick ups/drop offs are scheduled by appointment between these hours. YesNo Please upload vaccination history here: Drop a file here or click to upload Choose File Maximum upload size: 516MB Submit If you are human, leave this field blank.