Training Questionnaire
Please feel out this questionnaire so we can have the information necessary to design your training plan. A trainer will email you within 24-48 hours to discuss your training plan. Thank you!
Owner Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Name of Dog
*
Sex of Dog
*
Intact female
Intact male
Spayed female
Neutered male
Age of Dog
*
Weight of Dog (in pounds)
*
Breed of Dog
*
Please upload proof of current vaccines - rabies and DHPP are required for all dogs; bordetella is also required for dogs needing boarding or board & train services.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
What skills does your dog currently have? Select all that apply.
*
Walking on a loose leash, without pulling
Crate trained
Recall/ come
Sit
Down
Stay / Wait
Heel
Place
Other
What tool(s) does your dog currently use? Select all that apply.
*
Flat collar
Martingale collar
Prong collar
E-collar
Clip leash
Slip lead
Back-clip harness
Front-clip harness
Halti/ Gentle Leader
Figure-8 "Power Loop"
Basket muzzle
Other
What behavior concerns does your dog have? Select all that apply.
*
Jumping
Nipping/ mouthing
Biting (breaking skin)
Barking
Resource guarding food
Resource guarding toys
Leash reactivity/ aggression toward dogs
Leash reactivity/ aggression toward people
Not crate trained
Not leash trained/ pulls on leash
Tries to escape
Potty training
Protective in the home
Other
What are the top 3 behavior concerns you would like to address?
*
Jumping
Nipping/ mouthing
Biting (breaking skin)
Barking
Resource guarding food
Resource guarding toys
Leash reactivity/ aggression toward dogs
Leash reactivity/ aggression toward people
Not crate trained
Not leash trained/ pulls on leash
Tries to escape
Potty training
Protective in the home
Other
How does your dog react to other dogs? Please describe their reaction on leash, off leash, inside the home, or anywhere else they interact with or encounter other dogs.
*
Has your dog ever had a bite incident? Select all that apply.
*
No known bite incidents
Level 1 - snapping/ air-bite (no contact)
Level 2 - tooth contact on skin, no puncture
Level 3A - skin punctures, single bite down (all punctures shallower than the length of a canine tooth)
Level 3B - skin punctures, multiple bites down (all punctures shallower than the length of a canine tooth)
Level 4 - single bite with punctures deeper thanthe length of a canine tooth (the dog bit and clamped down) OR with slashes in both directions from the puncture (the dog bit and shook its head)
Level 5 - multiple bite attack with deep punctures OR multiple attack incident
Level 6 - victim killed or flesh consumed
If your dog has had a bite incident, please describe the victim (dog, cat, human, etc.) and the circumstances surrounding the incident.
Save
Submit
Should be Empty:
Now create your own JotForm - It's free!
Create your own JotForm