AHP – Puppy – Tell us about you AHP - Puppy - Tell us about you Step 1 of 12 8% Please start by telling us your basic information: Your Name(Required) First Last What is your approximate age group? 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Other adults who live at home with you This section is for you tell us about ALL ADULTS who live in your house but also about any other friends or family who spend significant regular time at your houseDo any other adults (18+) living with you?(Required) Yes No Please list all other adults who live at home with you here:handy hint.... click the + on the right hand side to add more rows!NameApproximate age groupRelationship to you Add RemovePlease put any other relevant information about these people here: Children who live at home with you: How many CHILDREN UNDER 18 live at home with you?(Required)If none, please enter 0Please give details here:Handy hint.... click the + on the right hand side to add more rows!NameAgeRelationship to you Add RemoveIf there is anything else that it would be helpful for us to know about children living at home, please pop this information here: Medical issues it would help us to be aware of It is really helpful for us to know if you, or anyone at home, has any medical conditions that may affect how you interact with your dog or how you may wish to work with us. We will make every effort to put adjustments in place wherever we can - our aim is for life with your dog to be as easy and enjoyable as possible and in particular, please let us know if there is anything we can do to make sessions more comfortable for you. Please tell us how you are affected and how we can best help (or put 'for info' if it is just so we are aware)For example arthritis, restricted mobility, anxiety, reduced hearing or sight. Handy hint.... click the + on the right hand side to add more rows!WhoCondition or things you may find harderHow can we support you? Add Remove Please tell us about the pets in your home: Please tell us about any other dogs in your home?click the + on the right hand side to add more rows!NameAgeBreedGenderMedical ConditionsNeuter StatusRescue (yes or no?) Add RemoveIf you already have more than one dog, how do the dogs get on with each other?Please tell us about any other pets in your home? Handy hint.... click the + on the right hand side to add more rows!NameSpecies Add RemovePlease tell us the level of interaction these other animals have with your current dog(s) and how they get on, OR how much interaction you'd like them to have with your new puppy, where appropriate (skip if not relevant). Previous Dog Experience Please tell us about your previous experiences with dogs (please don't worry if you haven't had any)e.g. Tell us about previous dogs you've had, dogs you've spent significant time with etc. A new family member Tell us a bit about why you've decided to get a puppy now? Your Daily Routine Please tell us the general work status of each adult in your house.Name What is your work status? Full Time Part Time Unemployed Job seeking Student Retired Where do you work/Study from?If you're looking for work - which of these are you looking for? At home In office/ Not at home Both (home and away) Is there another adult? Yes No Name What is your work status? Full Time Part Time Unemployed Job seeking Student Retired Where do you work/study from?If you're looking for work - which of these are you looking for? At home In office / Not at home Both (home and away) Is there another adult? Yes No Name What is your work status? Full time Part time Unemployed Job seeking Student Retired Where do you work/study from?If you're looking for work - which of these are you looking for? At home In office/not at home Both (home and away) Is there anymore adults? Yes No Please provide similar detail as above about any remaining adults that live with you.How would you describe your lifestyle? Busy Quiet Active Please tell us about your typical daily/weekly routineE.g. Working hours, typical leisure time activities etc.What provisions do you have/did you have in place if your puppy needs to be left in the first 2-3 weeks?e.g. Friends / family will be with them at home or take the pup with them etc. Your Home and Garden What kind of home do you have?e.g. Bungalow, detached, semi, flat, mobile home etc. Do you have a gerden? Yes No Is your garden safe and secure? Yes No No - but have plans to work on it Not sure Tell us a bit about your garden.E.g. Size, grass, patio, fence, hedges etc. Vet Practice Have you chosen a vet practice? Yes No I've got a few I'm considering but haven't decided yet How did you make your choise? Past Experience Recommendation from others Internet research Closest to you Other If other, let us know more here; Feel free to tell us a bit about which ones your considering and your thoughts on them if you'd like us to help with this Insurance Have you considered health insurance for your new puppy? Yes No Not sure Have you considered public liability insurance for your puppy? Yes No Not sure Anything else? If there is any extra information that would be helpful for us to know, please add it here: 49698