Puppy Questionnaire Name First Name Last Name Your Pronouns She/Her He/Him They/Them Other Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email Phone (###) ### #### Can we text you at the number above? Yes No What are your primary goals with your dog? Puppy's Name Puppy's Age Puppy's Breed/s and Approx Weight Is your puppy spayed or neutered? Spayed Female Intact Female Neutered Male Intact Male Please list all people in your home, including pronouns, and the ages of any children. Other dogs in the house? List names, breed/s, ages, and approx weights Other pets in the home? Cats, birds, etc What's your home environment like? City Suburban Quiet Town Farm Where did you get your puppy? Rescue Animal Shelter Breeder Other Name of rescue, shelter, breeder, etc When did you adopt your puppy and how old were they? What made you decide on this puppy? Does your puppy have any current or previous medical conditions? Do they take any medications or supplements? Have they every had a visit to the emergency vet? What type of food does your dog eat (kibble, wet, fresh, raw, etc) How much and often (1/2 cup twice a day, free fed, etc) What brand? What are your favorite ways to exercise puppy? How often? What is puppy's favorite toy? Favorite treat? What training have you worked on already? What training or behavior concerns do you have? How often does this occur? Have you done anything as an attempt to modify or avoid the behavior? Is there anything we should know? Thank you! Don’t forget to email shot records to info@superpup.academyFeel free to send a picture of your pup too!