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New Puppy (less than 4 months) Questionnaire
*
Indicates required field
1. How long has it been since you owned a puppy?
*
2. Where did you obtain your puppy?
*
Breeder
Pet Store
Online (i.e. Kijiji)
Friend
Rescue Group
Humane Society
Other, please specify below:
Untitled
*
3. How long have you had your puppy?
*
4. How old was your puppy when you obtained him/her?
*
5. How many puppies were there in the litter (including your puppy)?
*
1
2
3
4
5-7
8-10
More than 10
I'm not sure
6. How old were the puppies when they were taken away from their mother?
*
4 weeks or younger
5 weeks
6 weeks
7 weeks
8 weeks
9 weeks
10 weeks
11-12 weeks
13-14 weeks
Older than 14 weeks
I'm not sure
7. Where does your puppy spend most of his/her day?
*
Inside
Outside
In a room
In a kennel
With you
Other, please describe:
*
8. How would you describe your puppy's house training?
*
Great, not having any accidents!
Good, a few accidents when I forget to take him/her out
So-so, having several accidents a day
Not a clue, most elimination is happening in a location I do not prefer
Comments:
*
9. Have you enrolled your puppy in a puppy socialization class? If so, where?
*
10. If you have other pets in the household, describe the puppy's relationship with them.
*
11. Has your puppy ever shown any growling, barking, snarling or mouthing/biting towards you or anyone else? If so, when?
*
12. Are there things your puppy is afraid of or does not like? If so, please describe.
*
13. Has your puppy shown any of these signs (check all that apply):
*
Coughing
Sneezing
Itching
Diarrhea
Vomiting
Lack of appetite
None of the above
Comments
*
14. What type of food do you feed your puppy and how often is he/she fed? Is food availble all the time or at set "mealtimes"?
*
15. Any changes in water or food consumption?
*
16. Any change in frequency of urination or defection?
*
17. What, if any, medications (over the counter or prescription) does your puppy take or have applied routinely?
*
18. What are 3 things you enjoy about your puppy?
1.
*
2.
*
3.
*
19. Do you have any concerns or topics you would like to discuss?
*
Submit
Welcome
Contact info
Book appointment
Services
Bunny spay neuter
Meet us
Prices
Exam fees
Puppy series info
Kitten series info
Dog spay price
Dog neuter price
Cat spay price
Cat neuter price
Bunny spay price
Bunny neuter price
Take a tour
Emergency
Puppy classes
Vaccinations
History form
Animal blog
Dental health
Links
Pet food myths
Archived news
Drop off instructions
Nutritional Assessment Questionnaire
Puppy Questionnaire
Kitten questions
Kitten Questionnaire
Drop off questionnaire