Human information Form - Pet Care by Tiger

Name #1 *

Phone Number *

Email Address *

Date of birth

Day

Month

Year

Name #2

Phone Number

Email Address

Date of birth

Day

Month

Year

Name of emergency contact #1 *

Phone number *

Name of emergency contact #1

Phone number

How did you find me? *

Give them a place to type an answer

What services are you interested in? *

Will we have access to the house if you are not home? *YesNo

How will you provide access to your home?

Dog Information

Boarding and Daycare

Pet(s)

Dog’s name that we are lucky enough to care for?

Date of birth? *

Date of birth

Day

Month

Year

Dog’s age today? *

Month *

Year *

Breed?

Gender? *

Spayed/neutered? *

Are your vaccines up to date? *

Please select the vaccines your dog is current on. *

Has your dog shown symptoms or had any communicable illnesses within the last 30 days? *

Please share what communicable illness your dog has had.

Can a person with average strength control your dog on leash in all conditions? *

Has your dog harmed or threatened any person or domestic animal? *

Please describe what happened and the environment it happened in.

Does your dog have experience with pack hiking or boarding?

Please describe pack experience and how your dog liked it.

Does your dog have off-leash experience? *

Please describe when and how you have your dog off-leash.

What do you use to walk your dog? *

Where did you find your dog? *

Dog’s age when you find each other? *

Month *

Year *

Chipped? *

Please provide company and chip number.

Veterinarian’s Company Name *

Veterinarian’s Phone Number *

Veterinarian’s City *

Does your dog have allergies or medical conditions? *

Please list all allergies or medical conditions. *

Does your dog take any medications? *

Medications Name *

Medications Dosage *

Medication Times *

Food Dependency *

What is your dog’s daily exercise routine? *

What is your dog’s daily poop routine? Please include time of day. *

What is your dog’s daily food routine? Please include brand of food, quantity of food and time of the day. *

What games does your dog like to play? *

Where does your dog sleep? *

Where does your dog hide? *

New Category

Dog Behaviors

Tell me about your dog’s behaviors. Score your dog on a scale from 0 to 5, five being the highest.

Door Dasher012345Don’t know

Runs Away012345Don’t know

Escape Artist012345Don’t know

Jumps High Fences012345Don’t know

Carsick012345Don’t know

House Trained012345Don’t know

Socialized with Other Dogs012345Don’t know

Counter Surfer For Food012345Don’t know

Crate Trained012345Don’t know

Afraid of Loud Noises012345Don’t know

Separation Anxiety012345Don’t know

Barks More Than Once012345Don’t know

Understands social cues of other dogs012345Don’t know

High Energy Level012345Don’t know

Heat Sensitive012345Don’t know

Prey Driven012345Don’t know

Herding Driven012345Don’t know

Dominant012345Don’t know

Mouthy or Nippy012345Don’t know

Jumps on people012345Don’t know

Overly excitable012345Don’t know

Does the excited pee pee dance012345Don’t know

Plays rough with other dogs012345Don’t know

Plays gentle with other dogs012345Don’t know

Pesters other dogs to play012345Don’t know

Different Category

More Behaviors That Need Explanation

My dog has anxiety. *

Where does your dog hide? *

Please describe when your dog has anxiety and what your dog does (barks, whines, scratches at door, bites self or others)

My dog chews things like shoes, toys, carpet, rugs. *

Please describe

My dog eats things that she should not eat like socks, underwear, paper products, rocks, sticks, rando food on the ground. *

Please describe

My dog is destructive in the house or car like furniture, base board, seat belts, seats, steering wheel. *

Please describe

My dog prefers not to play with other dogs? *

My dog prefers humans or dogs *

My dog care more about human’s desires or self-desires. *

My dog is shy? *

Shy of what? *

My dog is skittish? *

Skittish of what? *

My dog is fearful? *

Fearful of what? *

New category

Aggressive behavior

Don't worry, we don't judge you at all as a pet parent. We just need to know what's going on with your dog to see if she fits in the Pet Care by Tiger community. We are going to use a very conservative definition of aggression. A dog that shows threatening or harmful behavior such as growling, snapping, forcefully pinning a creator or biting.
We realize some of these behaviors can be play, but for the safety of all creatures we need to talk about it.

Please describe what happened and the environment it happened in. If you already answered this question just type see above. *

Aggressive towards non-domestic animals *

Aggressive towards domestic animals *

Aggressive towards some dogs *

Aggressive towards all dogs *

Aggressive towards men *

Leash Aggressive *

Food protective *

Water protective *

Toy protective *

Property protective *

Person protective *

Unsure or aggressive towards children *

Unsure or aggressive towards elderly or people behaving unusually *

Unsure or aggressive towards people in general *

While in the care of Pet Care by Tiger and subcontractors, I authorize my dog(s) to be *

Do you authorize Pet Care by Tiger to take your pet to the vet for care or call the vet for advice? *

Human/Owner Print Name

Human/Owner Signature

Start signing your signature here

Date