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 tarief+2e keer 10% korting)
2x per day 1 uur/hour (2x tarief+2e keer 10% korting)
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/you come to collect?

Other comments or questions