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.

Lastminute fee: Bookings of 7 days or less in advance a 10% surcharge applies/ Schoolholidays: this fee is 15%. Bookings during the Summerholiday are charged by 15%, no matter how many days before you do the booking.

Intakeform new clients

    Your name*

    Adress*

    Zip code*

    Telephone*

    Email*

    Heard from Ikpasopjouwkat by...?*

    Eerste oppasdag/1st petsitday:

    Laatste oppasdag/last petsitday:

    Vertrekdag AND tijd/departure day AND time (schuifje verzetten/move the slider)

    Terugkomdag EN tijd/arrival day AND time (schuifje verzetten/move the slider)

    Petsitting wanted:
    elke dag/every day 30 min (1 kat € 12,95, 2 katten ‎€ 14,95 etc.)
    elke dag/every day 1 uur (1 kat ‎€ 20, ‎€ 2 katten ‎€22,50)
    elke dag/day 45 min (1 kat 16,50, 2 katten ‎€18,75)
    om-de-dag/every-other-day
    2x per dag 30 min/ 2x a day 30 min (2x rate)
    2x per day 1 uur/hour (2x rate)
    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:
    social/wait-and-see/anxiously?

    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