DKWorld4Us Dog Profile Form

Please fill out this DKW4Us Dog Profile form and click the SUBMIT button to send. Once the Dog Profile has been received and evaluated, you will be contacted. If you have a digital photo of the dog, please send as an email attachment to petprofile@petversatility.com be sure to include your full name so we can match the photo to your form information.

Your Information
Name:
Address:
City: ZIP Code:
Day Phone: Eve. Phone:
Email:
Dog's Information
Name: Age:
Breed: Spayed or neutered Yes   No  
Height & weight: Heartworm negative? Yes   No  
Rate the dog's behavior:
GOOD NEEDS WORK DON'T KNOW  
House training
Crate training
Fence jumping/climbing/digging to escape
Interactions with children
Interactions with men
Interactions with women
Interactions with cats
Interactions with other dogs
Ignores squirrels
Reaction to being groomed
Reaction to all body parts being touched
Traveling in car
Appetite
Calmly allows bowl taken away while eating
Calmly ignores others nearby while eating
Reaction when left alone
Digging for recreation
Ignores food on counters
Inappropriate barking/whining
Chewing on inappropriate objects
Reaction to thunderstorms/loud noises
Possessiveness of toys
Aggression to humans
Aggression to dogs
Walking on leash
Reaction when greeting people

How long have you had the dog?

Has the dog ever bitten a Human? A child? Describe & BE HONEST!!

Have you taken the dog for veterinary care? Describe.

Have you provided any grooming? Describe.

General health assessment:

General behavior assessment:

How does dog react around cats and/or squirrels?

How does dog react uncrated in the house?

Please describe how often your dog has been exposed to environments other than your house and yard (example: Vet visit, Park, Camping, Petco,Pet Smart, etc.) Describe those outings.

Reason for surrendering the dog to DKWorld4Us: