Pet Questionnaire - Critter Sitters Dubai

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
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NOTES: ____________________________________________________________________________
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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:
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RESTRICTED ROOMS
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DESCRIBE PETS PERSONALITY:
FRIENDLY
NERVOUS
TIMID
PLAYFUL
AGGRESSIVE
NOTES:
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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: ________________________________________________________________________________
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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:
_____________________________________________________________________
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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:
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