Contact Us Today! Phone: (415) 370-8006 Email: info@thepantingpooch.com
 
COVID-19 Customer Health and Safety Checklist

Please complete and submit this form each day that your pooch is scheduled for a walk. The Panting Pooch will not be able to walk your pooch if this form has not been submitted.


Name: *
Within the last 10 days have you or any pets or people in your household been diagnosed with COVID-19 or had a positive test result for the
virus? :
*
   
Have you or any pets or people in your household had close contact(more than a few minutes) with someone who in the past 14 days was diagnosed with COVID-19 or had a test confirming they have the virus?: *
   
Within the past 24 hours have you or any pets or people in your household had any one or more of these symptoms which is new or not explained by a pre-existing condition? : *

Fever, Chills, or Repeated Shaking/Shivering - Cough - Sore Throat
Shortness of Breath, Difficulty Breathing - Feeling Unusually Weak or Fatigued
Lethargy - Loss of Taste or Smell - Loss of Appetite - Muscle Pain - Headache
Runny or congested nose - Diarrhea

 
IMPORTANT: If you answered YES to any of the above questions please notify The Panting Pooch immediately by calling (415) 370-8006. 
 
I certify that frequently touched surfaces such as doorknobs, doorhandles and doorbells have been disinfected using the CDC's recommendations.
 
All members of the household agree to maintain a minimum of 6ft of distance from the walker when he or she is picking up or returning my pooch.
 
certify that I have placed a visual marker such as a poster or tape marking on the floor to indicate a distance of 6 ft from the doorway.
 
I agree to immediately notify The Panting Pooch if any pets or people in my household develop symptoms or test positive for COVID-19.

















 
 
Employee Health Check Form 

Please complete this form daily at your home before reporting to work. If you do not have a thermometer at home please check your temperature as soon as you arrive at work. You will receive an additional 15 minutes of pay for completing this form and taking your temperature.

Name: *
   
Within the last 10 days have you been diagnosed with COVID-19 or had a test confirming you have the virus?: *
   
Do you live in the same household with, or have you had close contact(more than a few minutes) with someone who in the past 14 days was diagnosed with COVID-19 or had a test confirming they have the virus?: *
   
Have you had any one or more of these symptoms today or within the past 24 hours, which is new or not explained by a pre-existing condition?: *

Fever, Chills, or Repeated Shaking/Shivering - Cough - Sore Throat
Shortness of Breath, Difficulty Breathing - Feeling Unusually Weak or Fatigued
Loss of Taste or Smell - Muscle Pain - Headache - Runny or congested nose
Diarrhea

 
IMPORTANT: If you answered YES to any of the above questions please notify Lane immediately by calling (415) 370-8006. 
 
My temperature is:*
(Enter "WORK" if you are unable to take your temperature at home and then take temperature when you arrive at work.)

 






Thank You! 

Thank you for completing your customer or employee health & safety checklist. The Panting Pooch will contact you before your pooch's walk if there are any questions or concerns. We look forward to seeing your pooch soon.


         
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