Intake Form

Adult Dog Questionnaire

At Tribeca Pet Services, we believe exceptional care begins with truly understanding each dog as an individual. Please complete this questionnaire as thoroughly as possible so we can best support you and your dog.

Owner Information

Your Name*

Email*

Phone*

Dog Information

Dog Name*

Breed / Mix*

Age*

Sex*

Spayed/Neutered*

YesNo

Background & History

How long have you had your dog?*

Where did your dog come from?*

Any known trauma or major life changes?

Household & Daily Life

Who lives in the home?*

Describe your dog's typical daily routine*

Amount of daily physical exercise*

Amount of mental enrichment

Training History

Has your dog worked with a professional trainer?

YesNo

Skills your dog reliably knows

Training tools currently or previously used

Behavior & Temperament

How would you describe your dog's personality?*

Response to strangers*

Response to other dogs*

Response to children

Current concerns

Health & Veterinary Care

Veterinary provider*

Medical issues, medications, or mobility concerns

Goals & Support

Primary goals for your dog*

Top concerns you would like help with

Anything else you would like us to know

All information is kept confidential and used solely to provide the highest level of care for your dog.

By submitting this form, you agree to our Terms of Service.