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Complete a profile for each dog to be enrolled at Ciao Bow Wow.. Complete responses assist us in the interview process. There are no right or wrong answers as all dogs are unique.

Owner's Name
Address
Phone (Day)
Phone (Evening)
E-Mail Address
Profiled Dog Information
Dog's Name
Breed
Dog's Age
Sex	Female Male
How long have you owned your dog?
Where did you get your dog?	[Select One] Newspaper Ad Animal Shelter Friend Breeder Pet Store Animal Rescue Group Found as a Stray Other
If adopted, what knowledge do you have of your dogs past history?
General Household Information
Number of people living in household	adult males adult females male children ages female children ages
Do you have cats?	[Select One] Yes No If so, how many?
Do you have other dogs?	[Select One] Yes No If so, please include dog ages, sex and if spayed/neutered.
Health/Grooming
How often do you brush or comb our dog's coat?
How does your dog react to having his/her nails clipped?
Does your dog like to be brushed?	[Select One] Yes No If no, what have you tried to make it more enjoyable?
Please describe your dog’s flea/tick control and prevention program
Does your dog have any sensitive areas on his/her body?	[Select One] Yes No If yes, where?
Does your dog have any allergies?	[Select One] Yes No If yes, please explain.
Does your dog have any physical disabilities?	[Select One] Yes No If yes, please explain. Include any restrictions such as no jumping, no running, no hard play, no contact with other dogs, etc.
Does your dog have any pre-existing medical conditions?	[Select One] Yes No If yes, please explain. If medication is used, please provide name and dosage.
Provide details of your dog's diet - type(kibble, canned, raw/natural) and brand(Innova,Iams, Wellness, etc.)
Where are your dogs favorite petting spots?
How frequently is your dog walked outside?
How long are your walks?
Indicate the overall level of exercise that best describes your dog's routine:	[Select One] Couch Potato Mild Exerciser Moderate Exerciser Athlete Couch Potato - Spends days sleeping, occasional walks and/or playtime with humans or other dogs. Mild Exerciser - Spends days outdoors, short daily walks and/or regular playtime with human or other dogs. Moderate Exerciser - Long or multiple walks daily and/or regular playtime with human or dogs. Athlete - Regular jogs/runs and/or regular participation in a dog sport activity such as agility, flyball,Frisbee, etc.
Behavior
Indicate from the following the level of dog socialization that best describes your dog’s routine:	[Select One] None Minimal Moderate Extensive None – No knowledge of other dog Minimal – On lead encounters only Moderate – Some off-lead playtime on occasion with visitor’s/neighbor’s/friend’s dog(s) Extensive – Regular visits to dog social events, off lead dog parks, dog daycare, etcetera
Does your dog like children?	[Select One] Yes No
How does your dog behave around children?
How does your dog get along with other household animals?
Do any visitors bring their dog(s) to your house?	[Select One] Yes No If yes, how do they get along?
How does your dog react to a stranger coming into your home?
Does your dog ever bark or growl at anyone passing outside your home?	[Select One] Yes No If yes, please explain.
Are there any particular types of people your dog seems to automatically fear or dislike?
Are there any types and/or breeds of dogs your dog seems to automatically fear or dislike?
How does your dog react to puppies?
How does your dog react to another dog approaching it in a park, at the beach or on a walk? On Leash Off Leash
Does your dog play with other dogs?	[Select One] Yes No If yes, please describe size, breed & temperament of the other dogs as well as male/female.
What kinds of games does your dog play with other dogs?
What kinds of games does your dog play with people?
Has your dog ever shared his/her food or toys with other animals?	[Select One] Yes No If yes, how does your dog react to another dog approaching his/her food or toys?
Where does your dog sleep, which room?
Where in the room does your dog sleep?	[Select One] Crate Owner's Bed Dog Cushion/Bed on floor Other
Has your dog ever jumped up on someone?	[Select One] Yes No If yes, what were the circumstances?
Has your dog ever growled at someone?	[Select One] Yes No If yes, what were the circumstances and how did you respond?
Has your dog ever bitten someone?	[Select One] Yes No If yes, what were the circumstances and how did you respond
To the best of your knowledge, what does your dog do when you're not at home?
How does your dog act when you get home at the end of the day?
What does your dog do to show he/she is happy?
Is your dog allowed on the furniture at home?	[Select One] Yes No
Has your dog ever climbed/jumped a fence?	[Select One] Yes No If yes, what were the circumstances
Is your dog frightened by thunderstorms?	[Select One] Yes No If yes, describe typical behavior & what specifically helps your dog’s fear.
Is your dog frightened by any other noises?	[Select One] Yes No If yes, what noises?
Is your dog frightened of or nervous around anything else?	[Select One] Yes No If yes, please explain.
Does your dog play with any toys?	[Select One] Yes No If yes, what kinds of toys does your dog like?
Has your dog ever growled or snapped at anyone who has taken his/her food or toys away from him/her?	[Select One] Yes No If yes, what were the circumstances and how did you respond?
Does your dog have any problems with mouthiness?	[Select One] Yes No If yes, please explain.
Does your dog have any problems with housetraining?	[Select One] Yes No If yes, please explain.
Does your dog have any problems with barking?	[Select One] Yes No If yes, please explain.
Does your dog have any problems with digging?	[Select One] Yes No If yes, please explain.
Does your dog have any problems with ignoring commands?	[Select One] Yes No If yes, please explain.
Which command does your dog know?	Sit Stay Down Come Heel Rollover Kisses High Five Other (please describe below)
Does your dog know any tricks?	[Select One] Yes No If yes, please Describe.
What kind of colar do you use to walk your dog?	Buckle Nylon/Chain Sliding Ring Harness Head Collar Prong/Pinch
Is it effective in keeping them under control?	[Select One] Yes No
Does your dog have a command to go to the bathroom?	[Select One] Yes No If yes, what is the command?
Does your dog have a command to be quiet?	[Select One] Yes No If yes, what is the command?
Does your dog respond to any commands on hand signal?	[Select One] Yes No If yes, what are the commands?
Is your dog crate trained?	[Select One] Yes No
Other
Do you know of any reason that your dog might not like, or be able to use, agility equipment?
Other comments or information about your dog that you feel might be helpful?

Our "Getting Acquainted" Daycare has been extended!

Our "Daycare Sessions" program will begin soon.

Mark your calendar for CBW's first annual
Halloween Extravaganza
Friday, October 31st
From 6 to 9 pm!
Come sip a devilish brew with other dog owners, and have your little pirate or cowgirl captured by our pet photographer! Costumes are on sale at 15% off thru October 10th!

info@ciaobowwowny.com