New Client Questionnaire -

NEW CLIENT QUESTIONNAIRENew Client Questionnaire

In order for us to best prepare for your appointment, all new customers must complete this questionnaire prior to their first appointment.

NEW CLIENT QUESTIONNAIRENew Client Questionnaire

In order for us to best prepare for your appointment, all new customers must complete this questionnaire prior to their first appointment.

Owner's Information

May we call or text you between the hours of 8:00am-7:30pm? (req'd)

Number of Pets: (required):

Pet's Information

Is your pet current on their flea and tick prevention? (required):

Pet Photo:

I understand that uploading a most recent photo of my pet(s) would provide me with the best pricing estimate possible, and better ensure an adequate amount of time is being blocked off on the schedule to complete my pets appointment.

Behavioral Issues for Grooming

(check all that apply)

Scared of the blow dryer
Does not like nails or feet being handled
Anxious
Aggressive
Has a history of biting, or trying to bite, for any portion of the grooming process
None to my knowledge
Other (please describe below)

Health Issues

(check all that apply)

Seizures
Diabetes
Heart Condition
Joint/Hip Issues
Allergies/Skin Condition
None to my knowledge
Other (please describe below)

Is your pet on any medications?

Type of Service(s) Requested

(check all that apply)

Wash or Bath
Hair Brushing
Hair Trimming
Nail Trimming and Filing
Ear cleaning
Other (please describe below)

Second Pet's Information

Is your second pet current on their flea and tick prevention? (required):

Pet Photo #2:

Behavioral Issues for Grooming - 2nd Pet

(check all that apply)

Scared of the blow dryer
Does not like nails or feet being handled
Anxious
Aggressive
Has a history of biting, or trying to bite, for any portion of the grooming process
None to my knowledge
Other (please describe below)

Health Issues - 2nd Pet

(check all that apply)

Seizures
Diabetes
Heart Condition
Joint/Hip Issues
Allergies/Skin Condition
None to my knowledge
Other (please describe below)

Is your second pet on any medications?

Type of Service(s) Requested - 2nd Pet

(check all that apply)

Wash or Bath
Hair Brushing
Hair Trimming
Nail Trimming and Filing
Ear cleaning
Other (please describe below)

Third Pet's Information

Is your third pet current on their flea and tick prevention? (required):

Pet Photo #3:

Behavioral Issues for Grooming - 3rd Pet

(check all that apply)

Scared of the blow dryer
Does not like nails or feet being handled
Anxious
Aggressive
Has a history of biting, or trying to bite, for any portion of the grooming process
None to my knowledge
Other (please describe below)

Health Issues - 3rd Pet

(check all that apply)

Seizures
Diabetes
Heart Condition
Joint/Hip Issues
Allergies/Skin Condition
None to my knowledge
Other (please describe below)

Is your third pet on any medications?

Type of Service(s) Requested - 3rd Pet

(check all that apply)

Wash or Bath
Hair Brushing
Hair Trimming
Nail Trimming and Filing
Ear cleaning
Other (please describe below)

Fourth Pet's Information

Is your fourth pet current on their flea and tick prevention? (required):

Pet Photo #4:

Behavioral Issues for Grooming - 4th Pet

(check all that apply)

Scared of the blow dryer
Does not like nails or feet being handled
Anxious
Aggressive
Has a history of biting, or trying to bite, for any portion of the grooming process
None to my knowledge
Other (please describe below)

Health Issues - 4th Pet

(check all that apply)

Seizures
Diabetes
Heart Condition
Joint/Hip Issues
Allergies/Skin Condition
None to my knowledge
Other (please describe below)

Is your fourth pet on any medications?

Type of Service(s) Requested - 4th Pet

(check all that apply)

Wash or Bath
Hair Brushing
Hair Trimming
Nail Trimming and Filing
Ear cleaning
Other (please describe below)

Fifth Pet's Information

Is your fifth pet current on their flea and tick prevention? (required):

Pet Photo #5:

Behavioral Issues for Grooming - 5th Pet

(check all that apply)

Scared of the blow dryer
Does not like nails or feet being handled
Anxious
Aggressive
Has a history of biting, or trying to bite, for any portion of the grooming process
None to my knowledge
Other (please describe below)

Health Issues - 5th Pet

(check all that apply)

Seizures
Diabetes
Heart Condition
Joint/Hip Issues
Allergies/Skin Condition
None to my knowledge
Other (please describe below)

Is your fifth pet on any medications?

Type of Service(s) Requested - 5th Pet

(check all that apply)

Wash or Bath
Hair Brushing
Hair Trimming
Nail Trimming and Filing
Ear cleaning
Other (please describe below)

Additional Information

Please list anything additional about your pet(s) that we should be aware of:

In accordance with N.C. state law, I attest that all of the pets in this household are currently vaccinated for Rabies.

I have read and am aware that the Dunk'n Dogs Policy Agreement Form requires my electronic signature prior to scheduling an appointment.

Owner's Information

Pet's Information

Behavioral Issues for Grooming

(check all that apply)

Health Issues

(check all that apply)

Type of Service(s) Requested

(check all that apply)

Second Pet's Information

Behavioral Issues for Grooming - 2nd Pet

(check all that apply)

Health Issues - 2nd Pet

(check all that apply)

Type of Service(s) Requested - 2nd Pet

(check all that apply)

Third Pet's Information

Behavioral Issues for Grooming - 3rd Pet

(check all that apply)

Health Issues - 3rd Pet

(check all that apply)

Type of Service(s) Requested - 3rd Pet

(check all that apply)

Fourth Pet's Information

Behavioral Issues for Grooming - 4th Pet

(check all that apply)

Health Issues - 4th Pet

(check all that apply)

Type of Service(s) Requested - 4th Pet

(check all that apply)

Fifth Pet's Information

Behavioral Issues for Grooming - 5th Pet

(check all that apply)

Health Issues - 5th Pet

(check all that apply)

Type of Service(s) Requested - 5th Pet

(check all that apply)

Additional Information

Signature