Name
*
Phone
*
(###)
###
####
Email
*
How do you perfer to be contacted
*
Text
Email
Address
*
Emergency Contact Name/Phone #
*
Dog's Name, Breed, Age
*
Sex
*
Female
Male
Spayed/Neutered
What services are you interested in?
*
Board & Train
Private Lessons
Group Classes
Service Dog Training
How did you hear about us?
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What are your top 3 behavior conerns for your dog?
*
Have you worked with another trainer? If so, what training company?
*
Veterinarian Clinic
*
How does your dog behave at the vets office?
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Excellent
Fair
Bad
Is your dog current on vaccinations and fecal test?
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Yes Vaccinations
Yes Fecal Exam
No
Is your dog on flea/tick or heartworm prevention?
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Yes
No
Has your dog been sick in the last 60 days?
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Yes
No
Is your dog on medications or have any allergies?
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Yes
No
What brand of food do you feed your dog?
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Amount? How Often? (ex 1 cup, twice a day)
Does your dog sit and wait to be released for meals?
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Yes
No
Where did you acquire your dog?
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How long have you had your dog?
*
What attracted you to this dog/breed?
Are there any other animals in the household? If yes, species, breed, age.
*
How is your dog motivated?
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Toys
Food
Praise
All the above
How much time do you have to train your dog each day?
*
I am way to busy to train my dog
20 minutes
40 minutes
1 hour
As much time as needed
What collars you have used or tried previously? Please check all the apply.
*
Buckle, nylon, leather
Prong
Martingale
Choke Collar
Electronic Collar
Body harness
Head harness
Other
is your dog sentitive about any body part being handled or groomed?
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Yes
No
What side does your dog heel on?
*
Left
Right
Both sides
When you walk your dog and he/she see's another dog, do they:
*
Ignore the dog
Show some interest but keeps walking
Growl and show aggression (e.g lunges)
Growl and tries to get away or hide behind you
Wag tail in a playful manner and want to play
Pulls hard to get to the other dog in a not-so-friendly way
Other
Does your dog obey basic commands
*
Yes
No
What cues/commands does your dog know? Select all that apply
*
Sit
Down
Stay
Come
Heel
Leave it
Watch me
Is your dog house trained?
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Yes
No
Does your dog ever GROWL, BARK, Lunge, or BITE other dogs or people? If so, please specify
*
has your dog ever been to a dog park or daycare?
*
Yes
No
Has your dog ever shown aggression to you?
*
Yes
No
Is your dog crate trained?
*
Yes
No
Does your dog have seperation anxiety?
*
Yes
No
Where dog your dog stay when left home alone?
*
Loose in the house
In a crate
Outside
Other
What activites/exercise do you provide your dog?
*
Walks/Runs
Off leash walks/play
Fetch games
Tug games
Interactive toys
Rough housing
Backyard play
How would you describe your dog's activity/energy level?
*
Low
Moderate
High
Intense
Please help me with? Check all that apply
*
Basic commands
Advance commands
Paying Attention
Jumping
Barking
Biting/nipping
Pulling on leash
Not coming when called
Bolting out doors
Excitment towards people/dogs
Barking at the doorbell
Resource Guarding
Crate training/anxiety
Digging/chewing
Stealing items
Fearfulness & shyness
Is there anything els about your dog that we should know about?
*
Date
MM
DD
YYYY
Name
*