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* 1. What is your name and your pets name?

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* 2. Where does your pet typically sleep at night?

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* 3. Does your pet experience separation anxiety?

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* 4. How many times per day do you feed your pet, and what? Are they on a special diet?

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* 5. How many walks per day does your dog normally get, and how long would you like these to be?

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* 6. Does your dog walk well on a lead?

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* 7. Does your dog react to other dogs? If so, how?

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* 8. Is your dog toilet trained?

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* 9. What is your pets medical history? Please provide any relevant information (does your pet require any medication?)

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* 10. Have you let your vet clinic know you will be away?

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