01.

New Client Intake Form

  • Full Name
  • Phone Number
  • Email Address
  • Home Address
  • Emergency Contact Name & Phone Number
  • Veterinarian Name & Phone Number
02.
Which Services are you requesting?
  • Overnight House Sitting
  • Drop-In Visits
  • Dog Walks

Requested start and end date/time(s)
Preferred visit timeframe(s)?
  • Morning
  • Midday
  • Evening

How did you hear about Mystic Moon Paw Prints?
03.
  • Pet Name

  • Species
  • Dog
  • Cat
  • Other

  • 

 Sprayed / Neutered?
  • Yes
  • No
04.
Does your pet have any medical conditions?
  • Yes (If Yes, please explain)
  • No

Does your pet require medication?
  • No
  • Oral medication
  • Topical medication
  • Other

Does your pet require injections?
  • Yes
  • No


  • Breed

  • Age & Birthdate

  • Weight

  • Sex
  • Male
  • Female
(Repeat for each pet)
Is your pet fully house trained?
  • Yes
  • No
How long between potty breaks?
  • 4 Hours
  • 6 Hours
  • 8 Hours

05.
How would you describe your pet's temperament?
  • Low Energy
  • Moderate Energy
  • High Energy
Has your pet ever shown signs of:
  • Leash reactivity
  • Aggression toward other animals
  • Aggression toward people
  • Separation anxiety
  • Weather storm anxiety
  • Resource guarding
  • None

Is your pet comfortable with guests entering the home?
  • Yes
  • Somewhat (Please explain)
  • No

Has your pet ever bitten or attempted to bite a person or animal?
  • Yes (If Yes, please explain.)
  • No
07.
08.
  • Feeding Range Times:
Morning Evening 
Where does your pet normally sleep?
  • Crate
  • Bed
  • Free in home

Does your pet have any triggers or fears?
Favorite activity and/or toy?
Anything else I should know about your pet's personality or care needs?
06.
How does your dog behave on leash?
  • Walks calmly
  • Mild pulling
  • Moderate pulling
  • Strong pulling

How does your dog react to other dogs or people on walks?
  • Calm/ ignores
  • Friendly/ curious
  • Excited but manageable (without lunging or pulling)
  • Reactive

What equipment is normally used?
  • Collar
  • Harness
  • Training collar (Prong, etc.)
  • Other
To ensure the best experience for everyone, Mystic Moon Paw Prints specializes in calm routine-based care. Please confirm the following:
  • My pet is comfortable with a structured visit schedule
  • My pet can typically go 4 - 8 hours between potty breaks
  • My pet does not require intensive behavioral management
  • I understand a Meet & Greet is required for all new clients
  • I allow photos of my pet(s) to be used for social media, marketing, and references for pet portraits ( Y / N )
Any additional notes about your pet(s):
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