Dog Walking Client Intake Form

Owner Information

Full Name

Street Address

City

State

Zip Code

Primary Phone

Secondary Phone

Email Address

Best way to reach you:

Call

Text

Email

Preferred Contact Times

Emergency Contact

Name

Phone

Relationship

Dog Information

	Dog 1	Dog 2
Name
Breed
Age
Weight
Color / Markings
Spayed / Neutered
Microchip #

Dog Temperament & Behavior

If you have two dogs, please note differences where applicable.

How does your dog behave around other dogs?

Friendly

Shy

Reactive

Aggressive

How does your dog behave around strangers?

Any known triggers or fears? (loud noises, bikes, skateboards, other animals, etc.)

Leash behavior:

Pulls

Walks nicely

Needs harness

Recall ability (comes when called)? Y N

Any history of biting or aggression? If yes, please describe:

Commands your dog knows (sit, stay, come, leave it, etc.)

Health & Medical

Current on vaccinations? Y N Date of last rabies vaccine:

Flea/tick prevention? Y N Product:

Any medical conditions? (allergies, seizures, arthritis, diabetes, etc.)

Current medications and dosing schedule

Any dietary restrictions?

Feeding schedule (time, amount, brand)

Does your dog need medication administered during walks? If yes, please provide details:

Veterinarian Information

Veterinarian Name

Clinic Name

Phone

Address

Authorization to seek emergency veterinary care? Y N

Walk Preferences

Preferred walk days:

Mon

Tue

Wed

Thu

Fri

Sat

Sun

Preferred Walk Times

Walk duration preference:

30 min

45 min

60 min

Preferred walk locations or routes

Areas or streets to avoid

Walk type preference:

Individual walk

Group walk

No preference

Home Access & Instructions

Key provided? Y N Lockbox code:

Alarm system? Y N Code:

Where is the leash kept?

Where are waste bags kept?

Where is the water bowl / treats?

Any rooms the dog should NOT access?

Other pets in the home? If yes, please provide details:

Special Instructions

Please note anything else your dog walker should know (routines, quirks, comfort items, etc.):

Agreement & Signature

I confirm that all information provided above is accurate and complete. I understand that it is my responsibility to notify my dog walker of any changes to my dog's health, behavior, or routine in a timely manner. I acknowledge that withholding or providing inaccurate information may affect the safety and quality of care provided to my dog.

Client Signature

Printed Name

Date

New Client Intake Form