Private Dog Park Survey
Your Information
Name (optional) :
Phone (optional) :
City & main intersection of your home :
Cell (optional) :
Email (optional) :
Breed, number and age of dog(s) :
Check here to be contacted when memberships are available :
1. Location (Maximum)
4. Access
0 to 15 min drive :
15 to 30 min drive :
30 to 45 min drive :
45 to 60 min drive :
Members only 3 month min :
Members only - month to month :
Pay per visit - open to public :
2. Average Visits Per Week
5. Fees
Weekends :
Saturday OR Sunday :
Saturday AND Sunday :
Weekdays :
1-2 Times :
3-4 Times :
Monthly Membership based on services etc.:
Minimum :
Maximum :
Daily - pay per visit based on services etc.
Minimum :
Maximum :
3. Time of Day
6. Membership Criteria
Mornings always :
Afternoons always :
Evenings always :
Anytime of day :
Other :
Specify
Yes
No
Max 2 dogs per adult :
Proof of vaccinations/worming :
Pass socialization test :
No alchohol/smoking :
Other :
Specify
