Your Dog's Lifestyle

1. Age (years) *

Breed *

2. Dog or Bitch *

Dog
Bitch

3. Is your dog neutered? *

Neutered
Spayed
Entire

4. How / when did you get your dog? *

I got my dog as a puppy at 8 weeks and over
I got my dog as a puppy at under 8 weeks
My dog came from a rescue centre and has been in my care for over 1 year
My dog came from a rescue centre and has been in my care for under 1 year
My dog was rehomed from another family and has been in my care for under 1 year
My dog was rehomed from another family and has been in my care for over 1 year
None of the above

5. At what age did the dog leave its Mother or family unit, if known *

6. Does your dog have any of the following *

7. Does your dog have any of these medical conditions? *

8. Do you use any of the following with your dog? *

9. Nutrition - Do you feed any of these to your dog?
*

10. Things to chew. I give my dog the following to chew.
*

11. Health - please tick if any of these apply
*

My dog is vaccinated annually
My dog was vaccinated as a puppy and I no longer vaccinate
My dog is Titre tested and vaccinated if necessary
My dog is vaccinated periodically
My dog is given homeopathic nosodes
My dog has never been vaccinated
None of the above

12. Sleep and rest
*

My dog gets 14-18 hours a sleep a day
I don't know how much sleep my dog gets
My dog has a choice of places to sleep
My dog's bed is in a quiet, warm place
My dog is not disturbed when sleeping

My dog has one bed
My dog sleeps in my bed
My dog sleeps in my bedroom
None of the above

13. Health - please tick if any of these apply
*

14. Health - do you give your dog any of the following to eat
*

15. Which of the following, if any, do you do with your dog? *

16. How often is your dog left alone (even if with another dog) *

Left more than 3 hours a day - every week day
Left for over 3 hours a day with a dog walker
Up to 3 hours a day - occasionally
Dog is left for more than 3 hours a day without a dog walker
Dog is never left alone
None of the above

17. Do any of these apply to your dog? *

Dog is shut in a crate at home
Dog is occasionally tied up - outside shop, in garden
Dog is tied up for long periods
Dog goes to kennels when on holiday
Dog goes to doggy day care
None of the above apply

18. What equipment do you use? *

19. How often does your dog socialise with other dogs? *

Never, we just have quiet walks by ourselves
Never, my dog is anxious around other dogs
Occasionally when in the park
Other dogs visit us at home for socialisation
We do occasional social walks with other dogs
We do regular social walks with other dogs
None of the above

20. How often do you take your dog to a completely new place? *

21. Has your dog ever had any of the following? *