Basic Intake & Goal Assessment

Basic Intake & Goal Assessment
Client & Dog Information
Guardian's Name:
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Phone:
Cell Phone:
Email:
example@example.com
How did you hear about us?
Dog's Name:
Breed/Age/Sex:
Date of Adoption:

Month Day Year
Date
Most recent vet visit and results:
Your Dog’s Routine
Describe your dog's daily routine:
What does your dog do for exercise, and how often and for how long?
What does your dog do when you're gone from the house?
What kinds of food does your dog eat? How much and how often?
Training History/Reinforcers
Have you done any training with your dog? Where did you do the training? Can you describe the basic approach you learned to train your dog? Did you feel you got the results you were looking for?
What are your dog's favorite foods or treats?
What are your dog's favorite toys:
What are your dog's favorite activities?
Client’s Goals
What would you like your dog to do?
What would you like to be able to do with your dog?
What are your goals for training with your dog?
What service are your registering for?

Virtual Consultation Virtual Lesson Virtual Lesson- 3 pack Virtual Lesson- 6 pack Kindergarten or High School Online Kindergarten or High School Online w/ Live Session
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