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

Your name*

Adress*

Zip code*

Stadsdeel*

Telephone*

Email*

Heard from Ikpasopjouwkat by...?*

First day petsitting: day of the week+ date*

Last day petsitting: day of the week+ date*

Departure day: day of the week+ date*

Arrival day:day of the week+ date *

Departure time*

Arrivaltime*

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)

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

Does your pet need medication? (malady/quantity)

Is the medication going through: mouth/food?

Water on different places? (which)

Can your pet go 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:
social/wait-and-see/anxiously?

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/you come to collect?

Other comments or questions

For the safety: I am no robot- please click the button and if you get the puzzle most quickest: use the headphone image for simple question

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