Merit Dog Project

Dog Behaviour Consultation Intake Form
EMAIL: erin@meritdogtraining.com

FACEBOOK: www.facebook.com/MeritDog WEBSITE: www.meritdogtraining.com
Name

First Name Last Name
Phone 1:
Phone 2:
E Mail Address:
example@example.com
Mailing Address:
Family members participating in training (name and age):
Other pets in house?:
DOG INFORMATION:
Dog's Name:
Breed:
Current age:
Sex:
Age Neutered/Spayed:
Age Aquired:
Age left litter:
Veterinary Clinic:
Where from & Why:
Groomer:
Kennel/Daycare:
Health History:
Is he/she on any medication?:
Diet History:
Current Food:
Duration on this food:
Feeding Schedule:
Where is he/she fed?:
Sleeping Area:
How would you describe his/her personality?
Has your dog ever bitten anyone? If yes, please explain.
Is your dog scared/fearful of anything? (example: noises, strangers, the car etc.) Please be as specific as you can.
TRAINING INFORMATION:
Current forms of praise & discipline:
Previous Professional or Alternate Resources and Training or classes:
Current Behaviour Issues – please write a short description of why you are seeking help with your dog, what behaviour issues you are seeking help for, and how long these issues have been occurring.
Goals:
1.
2.
3.
4.
5.
6.
Should be Empty:

Dog Behaviour Consultation Intake Form