Puppy’s Playpen

Personality Profile

913-648-DOGS (3647)

Fax: 913-649-7877

E-mail: puppysplaypen@um.att.com

Owners Last Name: _______________

Owners Phone Number: ______________

Dog’s Name: __________________

1. How did you hear about Puppy’s Playpen?___________________________________

2. Date you acquired your dog: _______________________________________

3. Dog’s breed, sex, age:___________________________________________________

4. Is your dog spayed or neutered? ______

If not, when do plan on spaying/neutering? ___________________

5. Where did you get your dog? _____________________________________

6. If adopted, do you have any knowledge of your dog’s past history? _______________

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7. Has your dog ever been abused by a person?_________________________________

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8. Does your dog like children?_________ How does your dog behave around children?

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9. Are there other animals in your household? If so, please list type, sex and age of each:

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10. Do you consider your dog good with other dogs?_____________________________

Please explain:___________________________________________________________

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11. If another dog comes up to your dog and sniffs your dog, how will your dog react?

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12. Has your dog ever been attacked by another dog?____________________________

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Health/Grooming

13. Does your dog have a problem with fleas?__________________________________

Allergies?_________________________________________________________

14. Is your dog currently on a topical flea preventative?(ex. Frontline, Advantage, Avantix, etc.)_____________________________________________________________

15. If so, when was the last dose given?_______________________________________

16. Has your dog ever been diagnosed with Kennel Cough?_______________________

If so, when and how was it treated?_____________________________________

17. Does your dog have hip dysplasia?_________If yes, what restrictions need to be

placed on your dogs activities or movements?___________________________________

18. Does your dog like to be brushed?_________________________________________

19. How does your dog react to having his/her nails clipped?______________________

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20. Does your dog have any sensitive areas on his/her body?_______________________

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21. Where are your dog’s favorite petting spots?________________________________

Behavior

22. Does your dog act afraid of any specific items or noises? If so, please explain:_____

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23. How does your dog react to strangers coming into your home or yard?____________

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24. Are there any kind of dogs your dog automatically fears or dislikes?______________

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25. How does your dog react to puppies?______________________________________

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26. Has your dog ever:

Growled at anyone?________ What were the circumstances:_________________

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Bitten someone?__________What were the circumstances:__________________

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Bitten another dog in an aggressive way?_______What were the circumstances?

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27. Does your dog have any problems in any of the following areas?(if so, please explain)

Housetraining:______________________________________________________

Barking:___________________________________________________________

Digging:__________________________________________________________

Jumping:__________________________________________________________

28. What command do you use to deter your dog from jumping?___________________

29. Has your dog ever growled or snapped at anyone who has taken his/her food or toys

away from him/her?______What were the circumstances?________________________

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30. Has your dog ever shared his/her food or toys with other animals?_______________

31. Does your dog play with any toys?___________If yes, what kind of toys does your dog like and what games does he/ she like to play?______________________________

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32. Does your dog play with other dogs?______________________________________

33. Has your dog ever had formal obedience training?____________________________

If yes, when and were?_______________________________________________

34. What commands does your dog know?_____________________________________

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35. Does your dog have a problem with going into a crate?________________________

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36. Is your dog toy aggressive or possessive?___________________________________

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37. Is your dog collar aggressive?_____________________________________________

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38. Has your dog ever growled or snapped at you or another person over food? ________________________________________________________________________

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39. How does your dog do on walks?_________________________________________

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40. Does your dog like to mark his/her area when they are in another place other than your home?__________________________________

41. Does your dog have a sensitive stomach to foods other than their own?___________

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42. Other comments about your dog which you feel might be helpful:_______________

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