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Personal Information
Name
*
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Please provide cell # if available.
May I text you at the number above?
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About Your Dog
Dog's Name
*
Dog's Age
*
Dog's Sex
*
Male
Female
Dog's Weight
*
Spayed / Neutered
*
Yes
No
Dog's Breed/Mix
*
Where did you get your dog?
*
Breeder, rescue, shelter, as a gift, etc.
How long has your dog been with you?
*
Dog Behavior
Do you have any behavioral concerns for your dog?
*
Yes
No
Please list your top 3 concerns
*
Have you worked with another trainer with the dog listed above?
*
Yes
No
What company?
*
Can you tell me anything about that experience that might be important?
Dog Behavior Details
Please check the areas your dog needs help with.
*
Check all that apply
Housebreaking
Digging and chewing
Pulling on the leash
Bolting out doors
Stealing things
Mounting people
Misbehaving in automobiles
Fearfulness & shyness
Marks territory inappropriately
Begging
Whining
Biting/Nipping
Food Aggression (guards his food or aggressively takes food from other dogs or humans)
Counter surfing
Jumping on people
Play biting/Mouthing
Reacting poorly to other dogs while on leash
Running away
Chasing (kids, cat, cars, other)
Mounting other dogs
Excessive barking
Over-protective
Separation anxiety
Crate Training
Growling
Possessiveness (doesn't allow you to take items from him)
Doesn't listen
Over activeness
Eats feces
What type of daily exercise does your dog get?
Is your dog currently on any medications?
Yes
No
For what and for how long?
Is your dog prone to or recovering from any injuries?
Yes
No
Please explain
Is your dog crate trained?
Yes
No
Do you walk your dog?
Yes
No
Does your dog pull on the leash?
Yes
No
What kind of leash/collar/equipment do you currently use or have ever used?
Check all that apply
Harness (leash attaches to chest)
Harness (leash attaches to back)
Head collar/halter (Halti, Gentle Leader, etc.)
Belt collar (regular flat collar)
Chain collar
Prong collar
Remote/electronic collar
Perimeter collar (electronic collar to keep dog on property)
Off leash
When you walk your dog and he sees another dog, does he:
Check all that apply. If different for each dog, select other and specify
Ignore the other 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 his tail in a playful manner and want to play
Pull hard to get to the other dog in a not-so-friendly way
Other
Please explain
When you walk your dog and he sees a cat or other small animal, does he:
Check all that apply. If different for each dog, select other and specify
Ignore the cat/animal
Show some interest but keeps walking
Growl and show aggression (e.g. lunges)
Growl and tries to get away or hide behind you
Wag his tail in a playful manner and want to play
Pull hard to get to the other animal in a not-so-friendly way
Other
Please explain
Does your dog allow you to 'examine' him?
(Touch his feet, look in his ears, check his teeth, etc.)
Yes
No
Sometimes
Does your dog allow you to groom him?
(Clip his nails, brush him, etc.)
Yes
No
Sometimes
Does your dog allow you to take away a high-value or forbidden item?
E.g. a bone, a toy, a sock he found on the floor.
Yes
No
Not sure
Has your dog ever had obedience training?
Yes
No
Please describe the type of training.
e.g. group classes, private lessons, board-and-train
Are you opposed to using any of the following training tools?
Check all that apply
Treats
Clicker
Head collar/halter (Halti, Gentle Leader)
Chain collar
Prong collar
Electric collar
I am not opposed to any of the training tools mentioned
What motivates your dog?
Check all that apply
Food
Affection/Praise
Play
Not sure
Please select the commands that your dog can perform reliably and consistently.
*
He doesn't know any commands
Sit
Down (Lay Down)
Recall (Come or Here)
Place
Heel (Loose Leash Walking)
Leave-It
Other
Please list any other commands that your dog knows.
Is there anything else about your dog or your training goals that you want us to know?
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