Harness Selector Questionnaire

First Name

Last Name

Email Address

Dog's Name

Gender
Male Female

Breed (or breeds if a mix)

Dog's age

Dog's weight in pounds

Measurements:

Neck (inches)

Girth (Chest - all the way around, just behind the front legs)

Back (Nape of neck to base of tail)

Does your dog wear a harness full-time? Yes No

Does your dog have any issues (medical or behavioral) we should consider? (for example, does not like anything going over his/her head, fears velcro, backs out of harnesses, neck or back problems?)

Do you have any medical issues we should consider? (for example, arthritis in your hands)