Puppy Questionnaire

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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)? *

6. How old were the puppies when they were taken away from their mother? *

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

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