Live-In Care Request

Client and Pet Information

Client Name

Pet Name

Pet Breed

Pet Age

Contact Information

Phone Number

Email Address

Home Address

Street Address

City

State

Zip Code

Pet Health Information

Is your pet up-to-date on vaccinations? (Please provide proof if possible)

Does your pet have any allergies or sensitivities?

Does your pet require any medications? (Please provide instructions and any necessary supplies)

Has your pet ever exhibited any aggressive or destructive behavior?

Is your pet spayed/neutered?

Feeding Information

What type of food does your pet eat?

How often does your pet eat?

Does your pet have any dietary restrictions or preferences?

Exercise and Play

How much exercise does your pet typically receive?

Does your pet enjoy playing with toys or other pets?

Are there any specific activities or games your pet enjoys?

Behavioral Information

Does your pet have any anxiety or fear-based behaviors?

Is your pet house-trained?

Does your pet have any crate training?

Home Security Information

Do you have a security system?

Are there any specific security measures you would like us to be aware of?

Emergency Contact Information

Name

Phone Number

Additional Notes

Please feel free to add any other relevant information or questions

Declaration

By signing below, you acknowledge that you have read and understood the above questions and agree to the terms and conditions of Bark and Beyond Sitter Services.

Signature

Date