DLS Private Coaching Application

1

What's your full name?* This field is required.

2

What is your email?* This field is required.

3

Your telephone number?

4

How old is your dog?* This field is required.

5

What breed is your dog...best guess on mixed breeds ;)?

6

And what's your main area of challenge with your dog?

7

Is there anything else we need to know?

8

Has your dog been to the vet in the past 6 months?

YesNo

9

When would you like to start paid coaching?* This field is required.

Within two weeks

Later

Just exploring

10

Has your dog bitten or injured a person or another animal, or is there a current safety concern?* This field is required.

Yes

No

Unsure

11

Briefly describe the safety concernIf you answered Yes or Unsure, briefly explain the concern without recreating the behavior.

12

What time zone are you in?* This field is required.

13

What is the best time window to contact you?

14

Would you prefer I contact you by text, email, phone call or no preference* This field is required.If no response in 48 hours, please check your spam or junk folder

Text

Email

Phone

No Preference-Any of them

15

Are you looking for live online coaching and willing to practice with your dog between sessions?* This field is required.

Yes

No

16

In which city are you located?* This field is required.