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Customer Application
Name
Email
Phone
Dog's Name
Breed
Dog's Weight
Dog's Age
Spayed/Neutered
Yes
No
Why are you looking for a new groomer?
When was your pets last professional grooming appointment?
Does your dog have any behavioural concerns such as separation anxiety, excessive barking, nervous, aggression, reactive?
Does your pet require veterinary medication for grooming appointments (ie: sedatives)?
Does your pet have any Medical Concerns?
Is your pet up to date on vaccines?
Is your pet on a flea/ tick prevention from April- November? Which brand?
What do you feed your dog?
Any additional information about your dog you would like us to know? ie. any problems with grooming ? Does he like his feet touched? Scared of loud noises? Can’t be kenneled? etc..
When are the best days to schedule? We groom by appointment only, please check all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday (currently unavailable)
How often do you get your pet groomed professionally?
4 weeks or less
4-6 weeks
7-10 weeks
4 times per year
2 times per year
Once a year or less
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