BOARDING QUESTIONNAIRE 

Owner’s Name: _________________________________________________

Dog’s Name: ___________________________________________________

1. Has the dog boarded before? __________________________________

If yes, where? _____________________________________________

2. Have there been any problems when the animal boarded before: _________

Explain: ___________________________________________________

3. How old is the dog? _____ Is it overweight? __________

4. Is the dog on any medication now? _______

If so, for what problem?_________________________________________________

Name of medication: _________________________________________

How often? ________________________________________________

5. Does the dog have any injuries, hot spots, irritations, skin problems, 
bandages, stitches, or other problems our staff should be aware of?




6. Is your veterinarian’s office local to our shelter? ___________________

Veterinarian’s Name & Phone #: ________________________________

7. How long will the dog be boarded? _______________________________

Please leave an address and phone number where you may be contacted in case of an 
emergency. If none, do you have a local emergency contact who knows the animal? _______________________________________________________

This information will help us make your dog as comfortable as possible during its 
stay in our boarding facility. Thank you for your cooperation!!