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Ajanvaraus
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Ajanvaraus
Hinnasto
Info
Menu Toggle
Koirahieronta
Esittely
Yhteystiedot
🇬🇧
Koirahieronta loikkohäntä
Preliminary information form
Please fill out the preliminary information form below before your dog’s
first
massage visit.
Please enable JavaScript in your browser to complete this form.
Booked time (date and time)
*
Name of the owner
*
Mobile
*
Email
Address
*
Dog's name
*
Breed
*
Date of Birth
*
Gender
*
Male
Bitch
Is your dog spayed/neutered?
*
Yes
No
Has your dog had a massage before?
*
Yes
No
Has your dog been diagnosed with a disease?
*
Yes
No
If your dog has been diagnosed with a disease, please provide details about it here.
Does your dog have any ongoing medication?
*
Yes
No
If your dog has been administered any medication in the last 21 days, kindly specify the medication and the corresponding ailment it was prescribed for.
Do you use any tick repellants?
*
No
Tick collar
Tick solution
Tablets
Natural repellant
I make an effort to minimize unnecessary contact with tick repellents, such as using rubber gloves around the neck when necessary. Please inform me if you apply any external repellents to your dog.
Has your dog undergone health examinations (bone scans, heart auscultation, knees, etc.)? You can share the results here.
*
Has your dog had any accidents, fractures, lacerations, etc.?
*
What are your hobbies and/or what kind of runs do you do?
*
Hobbies can provide insights into potential areas of tension. Please also inform me about your dog's outdoor activities, including whether they are frequently leashed or off-leash, and if they walk on paths or asphalt.
Anything to add?
Feel free to provide additional information here, such as the reason for the result or any other details crucial for the massage that were not mentioned above.
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I consent to the processing and storage of my data in the customer database.
The information gathered through this form will be exclusively processed by the entrepreneur.
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