Pet Profile Form
Animal hospital of
Statesville
Owners Name:___________________ Phone
Number/s__________________________
Pets Name:_______________ Breed:___________
Gender:______________Age:______
1.
Is your dog spayed / neutered (what age)?
2.
If adopted, do you
know any behavioral history?
3.
Does your dog get
along with all family pets?
4.
Does your dog have
any physical concerns that we should know about? Y
/ N
5.
Does your dog have
any sensitive areas we should be aware of? Y
/ N
6.
Does your dog have
any favorite “scratch”
spots
7.
Does your dog
regularly socialize with other dogs? Y
/ N
8.
Are there any dog breeds that your dog does not automatically like?
9.
Has your dog snapped
or growled over food or toys
10.
How does your dog
respond to strangers on walks and at home?
11.
In ANY situation,
has your dog ever been aggressive toward or bitten a
person or another animal?
12.
Is your dog
frightened by any noises, people, actions?
13.
Does your dog have any special commands you would like us to
use?
OWNER
SIGNATURE: ________________________
DATE: ____________________
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