Haiku Boarding Form – Haiku Veterinary Clinic

Please fill out this form entirely to ensure we have the necessary information to provide your pet with the best care possible

Pet’s Name:
Owner’s Name:
First Last
Email
Enter Email Confirm Email
1. Does your pet have separation anxiety (pawing at doors, chewing items or vocalizing when you leave the area)? If yes, please explain:
2. Does your pet have any habits we should know about? If yes, please explain:
3. Has your pet ever shown aggression towards humans or animals? Are they protective of toys or food? If yes, please explain:
4. Is your pet potty trained (will not urinate/defecate in their living space or kennel)? If no, please explain:
5. Does your pet go potty on command? If yes, please list command words:
6. What is the frequency of your pets daily urination and defecation?
7. What command words are used at home for behavior such as sit, stay, and come?
8. What type of food does your pet eat?
9. How much food is given per feeding?
10. Frequency of feedings?
11. What are your pet’s eating habits? Do they eat overnight, graze throughout the day, or eat right away once food is put down?
12. Does your pet have any food sensitivities? If yes please explain.

IS YOUR PET UNWELL? TRY OUT OUR PET HEALTH CHECKER Learn More