Training and Behavior Questionnaire - Precision K9 Training, Inc.

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PK9T Training & Behavior Questionnaire

Personal Information
Name*
First Last
Email*
Phone*
Please provide cell # if available.
May I text you at the number above?*
- Yes
- No
Address*
Street Address City State ZIP Code
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?*
Yes, I have reviewed the training options and pricing on Precision K9 Training website in the Services and Rates section?*
- Yes
I am interested in the following service(s).*
- Private Training
- Group Obedience Classes
- Canine Enrichment Program
Dog Behavior
Do you have any behavioral concerns for your dog?*
- Yes
- No
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
- Dog Aggression
- Human Aggression
Please list your top 3 concerns*
Was there a particular incident that prompted you to seek help at this time with your dog?*
- Yes
- No
Please describe in detail of the incident(s).*
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
How does your dog respond to strangers when they enter your home?*
Check all that apply. If different for each dog, select other and specify.
- Ignores
- Jumps on them (in a friendly way)
- Growls/barks while going toward them
- Goes to them excitedly (in a friendly way)
- Growls/barks while retreating
- My dog would bite people if I did not restrain him
- Other
Please explain*
How does your dog respond to strangers when he meets them away from your house (e.g. public place, park, etc.)?*
Check all that apply. If different for each dog, select other and specify
- Ignores
- Jumps on them (in a friendly way)
- Growls/barks while going toward them
- Goes to them excitedly (in a friendly way)
- Growls/barks while retreating
- My dog would bite people if I did not restrain him
- Other
Please explain*
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*
How do you feed your dog?*
- Free feed (food always available)
- Specific times
What brand of food do you feed your dog?
Where does your dog sleep?*
Check all that apply
- In a crate
- In a family member’s bed
- In his dog bed (not confined)
- Outside of house
- Other
Please explain*
What percentage of the time is your dog inside?
Is your dog crate trained?*
- Yes
- No
Does your dog like to ride in the car?*
- Yes
- No
In the car does he ride:*
Check all that apply
- In a crate
- Loose
- In a seatbelt/harness
How does he behave in the car?*
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*
What kind of 'patient' is your dog at the vet?*
Check all that apply. If different for each dog, select other and specify
- Great – the vet can do anything to him.
- A little nervous, but behaves for exams.
- Scared – he stands very still and his body is stiff.
- Terrified – he urinates and/or defecates.
- Doesn’t like it – growls and/or has snapped.
- Hates it – he must be muzzled or he’ll bite.
- 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
What happens if you interrupt your dog while he's eating?*
Check all that apply
- He doesn’t appear to care.
- He tries to eat more quickly.
- He freezes and stands over his bowl.
- He growls, snaps or bites.
- Not sure
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
Is your dog allowed on the furniture?*
- Yes
- No
Couch, chair, bed, etc.
Has your dog ever had obedience training?*
- Yes
- No
Please describe the type of training.*
e.g. group classes, private lessons, board-and-train
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 (Go to your Bed)
- Heel (Loose Leash Walking)
- Leave-It
- Other
Please list any other commands that your dog knows.*
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
Please list the tools you are opposed to, and a reason why.*
Example Reasons: I had a bad experience, My dog had a bad experience, I heard it was a bad tool, I’m afraid I’ll hurt my dog, It seems complicated
What motivates your dog?*
Check all that apply
- Food
- Affection/Praise
- Play
- Not sure
Please list all (human) household members and ages of children living with your dog.*
Who do you think your dog sees as "leader" in your household and why?*
Please list all other animals in your household and their ages. Please indicate if your dog "gets along" with each animal.*
Has your dog ever gotten into a fight with another dog.*
- Yes
- No
Please briefly describe the circumstances of the fight.*
Was either dog injured?*
- Yes
- No
Did injuries require vet attention?*
- Yes
- No
Please describe the vet visit/care.*
How do you discipline your dog?*
How does your dog respond to discipline?*
Check all that apply
- Acts submissively
- Cowers
- Ignores
- Retaliates (growls, snaps)
- Accepts and moves on
Is there anything else about your dog or your training goals that you want us to know?
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

Δ

Personal Information
Name*
First Last
Email*
Phone*
Please provide cell # if available.
May I text you at the number above?*
- Yes
- No
Address*
Street Address City State ZIP Code
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?*
Yes, I have reviewed the training options and pricing on Precision K9 Training website in the Services and Rates section?*
- Yes
I am interested in the following service(s).*
- Private Training
- Group Obedience Classes
- Canine Enrichment Program
Dog Behavior
Do you have any behavioral concerns for your dog?*
- Yes
- No
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
- Dog Aggression
- Human Aggression
Please list your top 3 concerns*
Was there a particular incident that prompted you to seek help at this time with your dog?*
- Yes
- No
Please describe in detail of the incident(s).*
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
How does your dog respond to strangers when they enter your home?*
Check all that apply. If different for each dog, select other and specify.
- Ignores
- Jumps on them (in a friendly way)
- Growls/barks while going toward them
- Goes to them excitedly (in a friendly way)
- Growls/barks while retreating
- My dog would bite people if I did not restrain him
- Other
Please explain*
How does your dog respond to strangers when he meets them away from your house (e.g. public place, park, etc.)?*
Check all that apply. If different for each dog, select other and specify
- Ignores
- Jumps on them (in a friendly way)
- Growls/barks while going toward them
- Goes to them excitedly (in a friendly way)
- Growls/barks while retreating
- My dog would bite people if I did not restrain him
- Other
Please explain*
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*
How do you feed your dog?*
- Free feed (food always available)
- Specific times
What brand of food do you feed your dog?
Where does your dog sleep?*
Check all that apply
- In a crate
- In a family member's bed
- In his dog bed (not confined)
- Outside of house
- Other
Please explain*
What percentage of the time is your dog inside?
Is your dog crate trained?*
- Yes
- No
Does your dog like to ride in the car?*
- Yes
- No
In the car does he ride:*
Check all that apply
- In a crate
- Loose
- In a seatbelt/harness
How does he behave in the car?*
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*
What kind of 'patient' is your dog at the vet?*
Check all that apply. If different for each dog, select other and specify
- Great - the vet can do anything to him.
- A little nervous, but behaves for exams.
- Scared - he stands very still and his body is stiff.
- Terrified - he urinates and/or defecates.
- Doesn't like it - growls and/or has snapped.
- Hates it - he must be muzzled or he'll bite.
- 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
What happens if you interrupt your dog while he's eating?*
Check all that apply
- He doesn't appear to care.
- He tries to eat more quickly.
- He freezes and stands over his bowl.
- He growls, snaps or bites.
- Not sure
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
Is your dog allowed on the furniture?*
- Yes
- No
Couch, chair, bed, etc.
Has your dog ever had obedience training?*
- Yes
- No
Please describe the type of training.*
e.g. group classes, private lessons, board-and-train
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 (Go to your Bed)
- Heel (Loose Leash Walking)
- Leave-It
- Other
Please list any other commands that your dog knows.*
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
Please list the tools you are opposed to, and a reason why.*
Example Reasons: I had a bad experience, My dog had a bad experience, I heard it was a bad tool, I'm afraid I'll hurt my dog, It seems complicated
What motivates your dog?*
Check all that apply
- Food
- Affection/Praise
- Play
- Not sure
Please list all (human) household members and ages of children living with your dog.*
Who do you think your dog sees as "leader" in your household and why?*
Please list all other animals in your household and their ages. Please indicate if your dog "gets along" with each animal.*
Has your dog ever gotten into a fight with another dog.*
- Yes
- No
Please briefly describe the circumstances of the fight.*
Was either dog injured?*
- Yes
- No
Did injuries require vet attention?*
- Yes
- No
Please describe the vet visit/care.*
How do you discipline your dog?*
How does your dog respond to discipline?*
Check all that apply
- Acts submissively
- Cowers
- Ignores
- Retaliates (growls, snaps)
- Accepts and moves on
Is there anything else about your dog or your training goals that you want us to know?
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

Δ

OFFICE LOCATION:

839 Heritage Ln
Ottawa IL 61350

OFFICE HOURS:

9 a.m. – 5 p.m. Monday through Friday
Closed Saturday and Sunday

TRAINING LOCATION:

Precision K9 Training
303 E McKinley Rd
Ottawa IL 61350

PHONE:
(815) 640-0126

EMAIL:
contact@precisionk9training.com

OFFICE LOCATION:
839 Heritage Ln
Ottawa IL 61350

OFFICE HOURS:
9 a.m. - 5 p.m. Monday thru Friday
Closed Saturday and Sunday

TRAINING LOCATIONS:
411 W Main St
Ottawa IL 61350

PHONE:
(815) 640-0126

EMAIL:
contact@precisionk9training.com

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