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Hours & Contact
Hospital Hours:
Mon - Thurs: 8:00am - 7:00pm
Fri: 8:00am - 5:00pm
Sat: 8:00am - 12:00pm
Hospital Contact Info:
Phone: (262) 846-6006
Fax: (262) 781-5278
[email protected]
Pet Resort Hours:
Mon - Fri: 6:30am - 6:00pm
Sat and Sun: By Appointment Only
Pet Resort Contact Info:
Phone:
(262) 384-6771
[email protected]
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Canine Personality Profile
BROOK-FALLS LUXURY PET RESORT
A Canine Personality Profile must be completed for each dog prior to his/her scheduled Enrichment Evaluation. Complete responses assist us in the evaluation process. There are no right or wrong answers as all dogs are unique.
Owner Information
Name
First
Last
Email
Phone number
Dog’s Information
Dog's Name
Breed
Date of Birth
Weight (lbs.)
Sex
- None -
Female
Spayed
Male
Neutered
How long have you owned your dog?
How did you obtain your dog?
- None -
Animal Shelter
Breeder
Friend
Found as Stray
News Paper/online
Pet Store
Rescue Organization
Other
What Knowledge do you have of your dog’s history prior to your ownership?
General Household Information
Number of Adult Males in Household:
Number of Adult Females in Household:
Number of Male Children in Household:
Number of Female Children in Household:
Ages of Male Children:
Ages of Female Children:
Describe how your dog interacts with all humans in the household:
Other Pets in Household
List Species / Breed / Age / Sex (Female-Spayed-Male-Neutered)
Describe how your dog interacts with other household pets:
Health
Date of Last Exam:
Reason for exam:
- None -
Annual Visit
Lameness
Heartworm Prevention:
Date Last Given:
Flea/ Tick Prevention:
Date Last Given:
Flea/Tick Prevention used for other household pets:
Describe any known physical disabilities/ limits:
Describe any known allergies:
What restrictions of activity/movement does your dog require?
No Restrictions
No Running
No Jumping
No Agility Equiptment
No Hard Play
No Physical contact With O ther dogs
Others PLease explain
Grooming
Frequency of grooming:
Grooming is performed by:
- None -
Owner
Professional Groomer
Other
Describe how your dog reacts to grooming and nail trims: If reaction is negative, what techniques have you tried to make the experience more enjoyable?
Describe any sensitive areas on his/her body:
List favorite petting spots:
Exercise
Indicate the overall activity level of exercise that best describes your pet’s exercise routine:
Light- Spends most of his/her time sleeping; occasional walks and/or playtime with humans or other pets.
Mild Activity- Regular daily short walks and/ or playtime with humans or other pets.
Moderate Activity- Long or multiple walks daily and or playtime with humans or other pets.
High Activity- Regular jogs or runs; and/or participation in a canine sport such as agility, frisbee, etc.
Frequency of walks taken:
Length of walks:
Type of Collar used while walking your dog:
- None -
Tradtional buckle/Snap collar
Nylon/chain sliding ring collar
Harness
Head collar such as a general leader
Prong/Pinch collar
other
Is this collar effective in keeping your dog under control?
Activities/Toys your dog enjoys:
Does your dog’s current exercise program meet his/her activity level requirements?
Training and Socialization
Describe any professional training classes your dog has attended: Were the classes completed and how well did they do?
Has your dog obtained an AKC S.T.A.R. or Canine Good Citizen certification?
Known Commands:
Come
Down
Heel
Leave it
Off
Sit
Stay
Other
Known Tricks:
Indicate the overall level of interaction that best describes your pet’s socialization:
None- No knowledge of interaction with other pets and/or humans outside of household
Minimal- On lead encounters only
Moderate- Occasional off-lead playtime with humans and/or pets outside the household
Extensive- Regular off-lead playtime with humans or other pets such as visits to dog parks, daycare, etc.
Describe any interaction your dog has had with other dogs outside of your household:
Were the other dogs:
Males
Females
Both male and female
Older
Younger
Both Older and Younger
Describe your dog’s reaction when meeting another dog for the first time while on leash:
Describe your dog’s reaction when meeting another dog for the first time while off leash:
Describe any aggression your dog has shown toward other dogs and your reaction to the incident:
Check any responses you have witnessed your dog display as a reaction to meeting another dog:
Barking in a high, whining pitch
Bowing down
Hackles (hair on back of neck) raised
Snapping or biting
Wagging tail
Barking in a low, warning tone
Growling or showing teeth
Mounting or standing over a dog
Tail stiff or above the back (wagging or not)
Other:
Describe your dog’s reaction to another dog approaching his/her food or toys:
Describe your dog’s reaction when meeting a person for the first time while on leash:
How does your dog greet a visitor/guest entering your home or yard?
Greets them enthusiastically or jumps up excitedly
Approaches the person cautiously, sniffing and inspecting them
Barks or growls at the person
Moves to the opposite side of the room and avoids the person
Other
If Other, What greeting?
Describe your dog’s reaction to a stranger entering your home or yard?
Has your dog ever growled, snapped or bit an adult or child? If yes, explain in detail the circumstances and your response to the incident:
Check any of the following traits your dogs has acted negatively to:
Children
Facial Hair
Hats
Uniforms
Men
Women
Wheel chairs or Walkers
Other
Behavior and Environment
To best determine the appropriate play group for your dog, please select three options that best describes your dog’s personality
Boss
Bully
Calm
Clean
Dominant
Dull
Easy Going
Excitable
Hyper
Intelligent
Messy
Nervous
Neurotic
Obsessive
Opinionated
Playful
Polite
Quiet
Relaxed
Rude
Submissive
Talkative
Other
Describe how your dog’s personality differs when at home versus a public setting:
Is your dog frightened or nervous of any loud noises or thunderstorms? If yes, what helps your dog cope with the anxiety:
Check any of the following areas your dog has problems and describe:
Barking
Digging
House training
Ignoring Commands
Jumping up
Mouthing
Pulling on the leash
Other
Describe what makes your dog frightened, nervous or uncontrollable:
Describe any behavioral issues such as anxiety, aggression, spinning, separation anxiety, etc.; and what actions/medications have been tried to treat the issue:
List any medications your dog takes that may affect is mood or behavior:
Where is your dog primarily kept?
Indoor
Outdoor
In and Outdoors
Kennel / Crate
Other
Is your dog kennel/ crate trained?
- None -
Yes
No
Is your dog allowed on the furniture at home?
- None -
Yes
No
Is your dog allowed in the bedroom/bed?
- None -
Yes
No
Has your dog ever climbed or jumped a fence? If yes, what were the circumstances that led to the occurrence?
Where does your dog sleep? Check all that apply
Indoors
Outdoors
In and Outdoors
Kennel/Crate
Garage
Living Room
Dining Room
Kitchen
Spare Bedroom
Master Bedroom
Other family members Bedroom
On the floor
In a Dog Bed
On the furniture
In family members bed
Other
To the best of your knowledge, what does your dog do when you are not home?
How does your dog react when you come home at the end of the day?
What does your dog do to show you he/she is happy?
Please use the space to provide comments or information about your dog that you feel may be helpful or important:
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