Intake form new clients

Through the mail you’ve heard from us that a petsitter is available.
We will make an appointment with you for an introduction / intake.

We ask you prior to this meeting to fill out this intakeform with some short questions about your pet(s). This information we will talk through when we meet.

Intakeform new clients

16-24/10/21 (AUTUMN HOLIDAY) IS FULL!/please book early for Schoolholidays

* LASTMINUTE: Bookings 1 week before or during the schoolholidays are charged by a 10% fee (Christmas and Summerholiday 15%)
* 45/60 min per day is NOT possible during schoolholidays

    Your name*


    Zip code*



    Heard from Ikpasopjouwkat by...?*

    Eerste oppasdag/1st petsitday:

    Laatste oppasdag/last petsitday:

    Vertrekdag AND tijd/departure day AND time (schuifje verzetten/move the slider)
    [datetime your-vertrekdag date-format:mm/dd/yy time-format:HH:mm first-day:1 change-month change-year buttons]
    Terugkomdag EN tijd/arrival day AND time (schuifje verzetten/move the slider)
    [datetime your-terugkomdag date-format:mm/dd/yy time-format:HH:mm first-day:1 change-month change-year buttons]

    Gewenste oppas/petsitting wanted:
    Your pet is a cat/dog/rabbit/guinea pig/or..?

    Name of your pet(s)*

    Age of your pet(s)

    Gender and color of your pet(s)

    Breed of your pet(s)

    If more cats/pets, how is their relationship

    When did your pet moved in with you? Since baby/from shelter/older?

    What does your pet eat per day? (type/quantity)

    Does your pet need medication? (malady/quantity)

    Is the medication going through: mouth/food?

    Has your pet had ailments / illnesses in the past?
    If so, which and how long ago?

    Water on different places? (which)

    Does your pet goes outside?

    Does your pet have a chip or name tube?

    Fill out what your pet loves:
    stroking/combing/on your lap/playing?

    Fill out what your pet is:

    Does your pet ever show deviant behavior like pee/poo outside the litterbox/ extremely anxious/aggressive/something else

    How often we clean the litterbox/cage?

    Do we take care of the : mailbox/plants/balcony/roofterrace?

    Is a cleaner coming during the petsitting? (day/times)

    Name vet*

    Name and telnr SOS contactperson*

    Name and telnr contactperson with spare key*

    Key afterwards*:
    mailbox/we keep them for you/we bring back (7,50 euro)/you come to collect?

    Other comments or questions

    I agree with the Terms and Conditions*