CRITTER SITTERS DUBAI Pet Questionnaire OFFICE USE ONLY CLIENT ID # _______________________ DATE: _______________/_______________/_________________ PET TYPE:____________________ PET #:____________________________ LOCATION:____________________________________________ CLIENT INFORMATION: CLIENT NAME: _______________________________________________________________________________________ ADDRESS: ____________________________________________________________________________________________ COMMUNITY DIVISION: _____________________________________________________________________________ PHONE NUMBER: ____________________________________________________________________________________ EMAIL ADDRESS: ____________________________________________________________________________________ EMERGENCY CONTACT: BEST CONTACT WHILE TRAVELING: ______________________________________________________________ PREFERENCE ON UPDATES: HARD COPY EMAIL VETERINARIAN: HOSPITAL NAME: ___________________________________________________________________________________ LOCATION OF BOOK? _______________________________________________________________________________ NOTIFICATIONS: IS THERE GOING TO BE ANYONE ELSE VISITING YOUR HOME WHILE WE ARE THERE? (LANDLORD, CLEANING SERVICE, PLUMBER, ETC.) NAME ________________________________________________________________________________________________ HAVE YOU MADE SECURITY AWARE OF PET SITTER? __________________________________________ PARKING: ____________________________________________________________________________________________ KEY OPTIONS: KEY TEST PERFORMED KEY PROGRAM FINAL VISIT:___________________________________ RETURN VISIT KEY DROP OFF (30 AED CHARGE) DATE TO RETURN KEY:______________________/_______________________ CRITTER SITTERS DUBAI Pet Questionnaire COMPLIMENTARY SERVICES: OUR SERVICE ALSO INCLUDES SWITCHING ON/OFF LIGHTS, WATERING PLANTS, AND BRINGING IN JUNK MAIL. PLEASE LIST SPECIAL INSTRUCTIONS IF NECESSARY: LIGHTS WATERING PLANTS BRINGING IN JUNK MAIL A/C CAR START MISC ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ NOTES: ____________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ NUMBER OF PETS: PET: PET NAME: ____________________________________ PET TYPE: __________________________________ AGE:____________ NEUTERED/SPAYED:___________ SEX____________ HEALTH CONCERNS: ________ HAS YOUR PET BEEN CARED FOR BY A SITTER BEFORE: _______________________________________ DOES YOUR PET HAVE ISSUES BEING LEFT ALONE: _________________________________________________________________________________________________________ RESTRICTED ROOMS ________________________________________________________ DESCRIBE PETS PERSONALITY: FRIENDLY NERVOUS TIMID PLAYFUL AGGRESSIVE NOTES: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ CRITTER SITTERS DUBAI Pet Questionnaire SERVICES: FEEDING INSTRUCTIONS: TYPE OF FOOD: AMOUNT: TIMINGS: DRY _____________________________ _______________________ WET _____________________________ _______________________ TREATS _____________________________ _______________________ SOCIAIZATION TIME: PLAYTIME/FAVORITE TOY, ETC: __________________________WALKS: ______________________________ WHERE DOES YOUR PET SLEEP AT HOME: _______________________________________________________ DO WE HAVE PERMISSION TO TURN ON AND OFF T.V. OR RADIO TO COMFORT PETS? _____ LOCATION OF: LEASH _________________________________ FOOD/TREATS _________________________________ BOWLS _________________________________ LITTER BOX/LITTER _________________________________ MEDICATION _________________________________ CLEANING SUPPLIES _________________________________ CRATE _________________________________ MISC _________________________________ NOTES: ________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ CRITTER SITTERS DUBAI Pet Questionnaire SERVICE CONTRACT The utmost of care will be given in watching both your pet(s) and your home. However, due to the extreme unpredictability of animals, we do not accept responsibility for any mishaps of any extraordinary or unusual nature (i.e., biting, furniture damage, medical illness, accidental death, etc.) or any complications administering medications to the pet. Nor can we be liable for injury, disappearance, or death. I hereby authorize CRITTER SITTERS DUBAI to transport my pet(s) to my veterinarian in the event of an emergency in my absence. I understand that CRITTER SITTERS DUBAI is not liable for injuries incurred during transport. If you choose to decline please be aware CRITTER SITTERS DUBAI is not liable for your pet. ACCEPT [X]______________ DECLINE [X]_____________ I give permission to CRITTER SITTERS DUBAI to be in my home and to care for my pet(s). I understand payment is due in full prior to start of services. If extended time is required I agree to pay for extension immediately upon my return. In case of personal illness or injury to sitter I agree to allow another employee of CRITTER SITTERS DUBAI to step in and care for my pet(s). By signing below I agree that my pet(s) have been vaccinated and are current. I have reviewed this service contract and understand the contents of this form. SIGNATURE: ______________________________________________ DATE: __________/___________/___________ PRINT NAME: ________________________________________________________________________________________ ADDRESS: ____________________________________________________________________________________________ COMMUNITY DIVISION: _____________________________________________________________________________ HOW DID YOU HEAR ABOUT US: ___________________________________________________________________ CRITTER SITTERS DUBAI Pet Questionnaire MUTIPLE PETS: PET: PET NAME: ____________________________________ PET TYPE: __________________________________ AGE:____________ NEUTERED/SPAYED:___________ SEX____________ HEALTH CONCERNS: ________ HAS YOUR PET BEEN CARED FOR BY A SITTER BEFORE: _______________________________________ DOES YOUR PET HAVE ISSUES BEING LEFT ALONE: _________________________________________________________________________________________________________ RESTRICTED ROOMS ________________________________________________________ DESCRIBE PETS PERSONALITY: FRIENDLY NERVOUS TIMID PLAYFUL AGGRESSIVE NOTES: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ PET: PET NAME: ____________________________________ PET TYPE: __________________________________ AGE:____________ NEUTERED/SPAYED:___________ SEX____________ HEALTH CONCERNS: ________ HAS YOUR PET BEEN CARED FOR BY A SITTER BEFORE: _______________________________________ DOES YOUR PET HAVE ISSUES BEING LEFT ALONE: _________________________________________________________________________________________________________ RESTRICTED ROOMS ________________________________________________________ DESCRIBE PETS PERSONALITY: FRIENDLY NERVOUS TIMID PLAYFUL AGGRESSIVE NOTES: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________