New Client Questionnaire 2020

Step 1 of 2

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How did you hear about us?*
- Facebook
- Oxford Eagle
- Online Search
- Saw Vehicle
- Referral
- Neighborhood Magazine
Please check the appropriate box. If you were referred to us, please enter the person's name in the "other" field.
Please enter the name of the person who referred you:*

If you were not referred, please enter None
What is your primary goal in developing a relationship with Homeward Bound?*
Please select the category that best represents your need for Homeward Bound. If other, please describe.
- Grooming Appointment
- One time trip
- Routine Travel
- Annual Vacation/Holiday Travel
- Mid-Work day let outs/walks
We are unable to accommodate new clients
for our Pet Nanny Services at this time.

Preliminary Information for Pet Nanny Service
Name*
First Last
Do you live within five miles of the Oxford Square?*
- Yes
- No
Phone*
Email*
Enter Email Confirm Email
Address*
Street Address Oxford State 38655
Total number of pets in household*
Please enter a number from 1 to 3.
Is your pet(s) comfortable with an unfamiliar person entering the home?*
- Yes
- No
What type of pet(s) do you have? (Dog, Cat, Rabbit etc)*
Is your pet primarily inside, outside or both? Brief description of their routine*
Where does your pet(s) stay when unattended? (Free in house, crated etc)*
Local Veterinarian:*
Have you used a pet nanny/pet sitting service before?*
- Yes
- No
If yes, was it an individual person or a sitting service?*
- Individual
- Sitting Service
If you have upcoming travel plans please indicate travel dates:*
Vaccinations current?*
- Yes
- No
Medical Concerns or medications required?*
- Yes
- No
If yes, please describe for each pet*
Does your pet have a history of aggression or have they ever had a “bite incident”?*
- Yes
- No
If yes, please describe*
Do you have a roommate/housemate who is not a family member living in the home?*
- Yes
- No
If yes, please describe*
Do you Roommates or friends/family that you intend to provide supplemental care during the time you have contracted with Homeward Bound?*
- Yes
- No
If yes, please describe*
Spaw Services Form
Now Open: The Spaw! Come visit our new location at 426 S. Lamar Blvd. Take a tour through our Spaw Rooms, Zens Rooms or just relax on the Spaw Pad, our front pooch patio and garden space.The Spaw awaits you and your pup(s)!
Name*
First Last
Phone*
Email*
Address*
Same as previous

Street Address Oxford State 38655
Who is your local veterinarian?*
How many dogs to be groomed?*
What is your pups name(s)?*
Date of Birth*
Gender
Are they spayed/neutered?
How much does your dog(s) weigh?*
What breed dog(s)?*
Which coat types best describes your dog?*
How often are they groomed?*
When were they last groomed?*
Where were they last groomed?*
Are Vaccinations Current? (Rabies, DHLPP-Distemper, Bordetella.*
- Yes
- No
Please indicate Flea & Tick medication used and frequency of use*
Please indicate which Heartworm preventative is used and frequency of use*
Do they get along with other dogs?*
- Yes
- No
Have they ever been "sedated" for grooming services?*
- Yes
- No
Dislikes: Is your pet "sensitive" to being touched in a particular place such as their feet or belly? Are they sensitive to noises?*
Does your dog have any medical concerns such as; seizures, heart condition, allergies. Please describe*
Do they have any lumps, bumps or physical anomalies? If yes, please describe.*
Are they "vocal"?*
- Yes
- No
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Name
This field is for validation purposes and should be left unchanged.

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Service Hours

Daily 6:00am - 8:00pm
Holidays: Extended hours

Office Hours

By appointment only

Business Hours

T-F: 9am - 5pm
Most Saturdays: 9am - 12 pm

Service Area

Within 5 miles of the Oxford Square

Bonded & Insured

All team-members

Contact Information

Homeward Bound, Inc.
426 South Lamar Boulevard Suite A
Oxford, MS 38655
info@homewardboundms.com
662-234-1097

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Email*
First Name*
Last Name
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Step 1 of 2

We are unable to accommodate new clientsfor our Pet Nanny Services at this time.

Preliminary Information for Pet Nanny Service

Spaw Services Form