PET PRO LIFESTYLE QUESTIONNAIRE

Name: __________________________________________

Phone: _____________________________

Email: _____________________________________

Do you live in a :   House     Apt

Do you live in the:   Country    City

How many kids? ________ Adults? ________

Is the house:   Active     Quiet

Does your dog tend to be:   Shy    Outgoing

Does your dog have bladder control:   Yes    No

Does your dog have stool control:   Yes   No

Is your backyard fenced?   Yes    No

Is there standing water nearby?  Yes   No

Are there other dogs nearby?  Yes   No

Does other wild life enter the yard?  Yes   No

Do you walk your dog?  Yes   No

     If yes, how far and how often? ________________________________________

Do you take your dog to a dog park?  Yes   No

Do you take your dog to public parks?  Yes   No

Do you take your dog to Doggie Day Care?  Yes   No

Is your dog restricted to certain areas/rooms of the house?   Yes   No

Is your dog allowed in the garage?   Yes   No

Do you use an exterminator?   Yes   No

Do you use household pest controls (mouse poison, roach control, etc.)?  Yes   No

When you take trips, does your dog:

     a. Go with us   b. Stay with other family   c. Stay in a kennel

     d. Pet sitter comes to house

Do you ever take your dog camping?  Yes   No

How often do you poop scoop? ______________________________

Do you clean your dog’s toys?   Yes   No

     If yes, how do you clean them? ________________________

What type of food do you feed your dog? ___________________

     How much? _____________ How often? _______________

Do you suppliment food with bones?   Yes   No

Do you suppliment with treats?   Yes   No

What type of flea control do you use? ____________________________

     How often? _____________

What type of heartworm control do you use? __________________________

     How often? _____________