Company Name:

Contact Name:

Does the Professional have insurance?

Yes        No           Copy Provided?     Yes         No  

Is the Professional a member of an organization?

Yes        No         Certificate Provided?    Yes         No

Which One?                                            Web Site Link:

Does the professional have employees who will be visiting my pet, or just themselves?

No Employees              1 Employee            More than 1 Employee

Will you be meeting the person caring for your pet?

Is the professional trained in First Aid?

Yes         No        Certificate Provided?     Yes     No

Does the professional provide medications (if required)

Yes         No    

Does the professional have references? List. (Call references if provided, do not rely soley on written references)

Yes         No          Client Surveys?      Yes         No

List References and Phone Numbers

What is the price quoted?

$              per visit or contract amount:  $

Does the professional have a written contract?

Yes       No

What are cancellation or short notice policies / charges?

List:

What are the payment terms / options?

List:

Does the professional have any additional training?

Yes       No     Certificates Seen?    Yes      No   

List:

How does the professional interact with my pet? How does my pet respond?