TURN-IN REPORT Step 1 of 4 - About You & Your Puppy 25% About You & Your DogNAME* FIRST NAME LAST NAME Email* Phone*What Region Is The Dog Being Turned In From*AB - CalgaryBC - Lower MainlandBC - OkanaganOut of TownDog Name* Dog's Date of Birth MM slash DD slash YYYY Breed Golden Retriever Havanese Lab X Golden Labrador Sheltie Spaniel Coat Colour Black Yellow Nutrition & HealthDog Food Brand* Purina Eukanuba Dog Food Formula* Puppy - Chicken & Rice Puppy - Large Breed Chicken & Rice Puppy - Large Breed Lamb & Rice Adult - DRM Adult - EN Adult - HA Adult - Large Breed Lamb & Rice Adult - Large Breed Chicken & Rice Frequency & Volume of Food*i.e. 1.5 Cups 3x/day Current Weight (in Lbs)*Has Your Dog Had A Fecal Float Done?*YesNoOn what date?* MM slash DD slash YYYY What were the results/treatment?*For example: Clear, or if parasites found please describe (including treatment) Vaccinations & TreatmentsPlease tell us the date of the dog's most recent vaccinations/treatmentsDHPP* MM slash DD slash YYYY Bordatella* MM slash DD slash YYYY Rabies* MM slash DD slash YYYY OtherGiardia, Lyme, etc MM slash DD slash YYYY What was given? Is the Dog on Flea &/or Tick control?* No Yes - Revolution Yes - Advantage Yes - Simparica Yes - Nexgard Yes - Bravecto Yes - Other What Date Was It Last Given MM slash DD slash YYYY Is the Dog on Any Additional Treatments or Medications?If so please describeDoes your dog have any chronic health problems?If so please describe & indicate who diagnosed this problem. Has the dog had more than 2 ear infections requiring a vet visit?*YesNoDoes the dog chew on itself or itch frequently?*YesNoHas the dog experienced an allergic reaction during puppy-raising?*If so please describe (both the trigger, reaction and the treatment)Has the dog had/have any other health concerns that have not yet been mentioned above?*If so please describe Help us get to know the dog being turned in!How difficult was this puppy to raise?* 1 - Very Easy 2 - Easy 3 - Average 4 - Difficult 5 - Very Difficult How many PADS dogs have you raised previously?*Please also include their names as this will give us a means of comparison regarding your previous answer relative to the dog you are turning in. How long can the dog kennel quietly alone at home during the day?* Does the dog bark at unseen noises?* 1 - Never 2 - Sometimes 3 - Often 4 - Always 5 - Uncontrollable Does the dog bark at people?* 1 - Never 2 - Sometimes 3 - Often 4 - Always 5 - Uncontrollable Does the dog bark at sights/items?* 1 - Never 2 - Sometimes 3 - Often 4 - Always 5 - Uncontrollable Does the dog bark at other dogs?* 1 - Never 2 - Sometimes 3 - Often 4 - Always 5 - Uncontrollable Does the dog bark or growl in other situations?* 1 - Never 2 - Sometimes 3 - Often 4 - Always 5 - Uncontrollable Please describePlease describe the dog's personality*What are the dog's strengths? (Training, obedience and personality)*What challenges are you still working through with the dog? What steps have you been taking to work through these behaviours and what has been the result?*Is there anything you want to tell us to help us know the dog better that has not been covered above?* Your Volunteer RoleHiddenWould you be interested in puppy-sitting this dog if needed?* Yes No Would you be interested in puppy-raising again?* Yes No CAPTCHA
