What services are you inquiring about?
Private Training Sessions
Pet Training Program
Controlled Aggression/Personal Protection Training
Behavior Modification Training
Board & Train Programs
Pack Walks
Other
Your Name
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First Name
Last Name
Email
*
Phone
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(###)
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Dog's Name
*
Dog's Age:
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Dog's Breed:
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Please check all that apply.
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MALE
FEMALE
SPAYED
NEUTERED
INTACT
Age when spayed/neutered
Adoption Date
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MM
DD
YYYY
Previous homes?
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YES
NO
Does your dog have any medical issues, allergies, or concerns?
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YES
NO
If yes, please explain.
Is your dog currently taking any medications?
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YES
NO
If yes, please describe (including name, dosage, duration).
List each family member living in the home (including age of children).
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Briefly describe how your dog gets along with each family member including any problems.
List all other pets in the household.
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Briefly describe how your pets get along with each other.
Briefly describe your dog's usual daily schedule.
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Where does your dog sleep?
Where does your dog sleep when you are away from home?
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Has your dog had previous obedience training?
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YES
NO
If yes, please describe.
Does your dog know any of the following commands?
Please check all that apply
Name Recognition
Lie Down
Stay
Sit
Come/Recall
Is your dog potty trained/ house broken?
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YES
NO
What training methods do you use at home?
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Please check all that apply
Verbal Corrections
Physical Corrections
Treats
Praise
Clicker or Marker
What is your dog's favorite reward?
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What training tools or devices do you commonly use?
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What are your primary training concerns?
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How would you rate your dog's energy level?
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Low
Average
High
Excessive
Which best describes your dog?
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Please check all that apply
Submissive
Excited
Dominant
Shy
Anxious
Is your dog frightened of any certain situations or noises?
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YES
NO
If yes, please explain.
Does your dog have separation anxiety
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YES
NO
If yes, please explain.
Has your dog ever bitten a person or animal? This includes other pets, livestock, guests, and strangers.
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YES
NO
If yes, please explain.
Has your dog now or in the past exhibited any of the following?
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Please check all that apply
Digs in the Yard
Jumps Fences
Excessive Barking
Growling
Excessive Chewer
Jumps on People
Play Biting
Lunging
Mouthing/ Nipping
Darts/ Escapes Doors
Urinates when Excited
Potties in the Home
Steals Food/ Trash
Doesn't Obey
Anxious
Fearful
Threatens Family
Threatens Strangers
Threatens Animals
Aggression on Leash
Food Aggression
Toy/ Ball Aggression
Crate Aggression
Destructive
Issues with people of certain types or ages.
What are your primary behavioral concerns?
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