PK9T Training & Behavior Questionnaire Personal InformationName* First Last Email* Phone*Please provide cell # if available.May I text you at the number above?* Yes No Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code About Your DogDog'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 BehaviorDo 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 DetailsHow 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 complicatedWhat 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?CAPTCHANameThis field is for validation purposes and should be left unchanged. Δ Personal InformationName* First Last Email* Phone*Please provide cell # if available.May I text you at the number above?* Yes No Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code About Your DogDog'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 BehaviorDo 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 DetailsHow 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 complicatedWhat 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?CAPTCHANameThis 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