Ume Mama Animal Behavior
Training and Consulting
How did you hear about me?
Street Address Line 2
State / Province
Postal / Zip Code
Owner Contact Number
Dog Name :
Date of birth (guess if rescue)
Is your dog spayed/neutered and how old were they when surgery was performed?
Vaccinations up to date?
Is your dog on any medications or supplements?
What cues does your dog respond to?
How does your dog react to strangers?
How does your dog react to other dogs?
Has your dog ever bitten a person? A bite could be considered as teeth making contact with skin.
Has your dog ever air snapped at a person? For example, your dog snaps their mouth in the air as if to bite.
List three things about your dog that you love. Be sure to describe behaviors, so if your dog is "affectionate" what does that behavior look like?
What are your top 3 training goals?
Does your dog have any food allergies?
Any other detail I should know about your dog?
Specific Behavior Questions
If you have a new puppy or rescue, you may skip this if you don't know enough about your dog.
Describe in observable terms one behavior your dog does that you would like to reduce. For example: "my dog barks for 3 minutes after someone knocks on the door"
Does the problem behavior immediately follow a demand or request?
What is the most immediate predictor of the behavior?
What time of day does the behavior occur?
Where does this behavior occur? Physical setting, location, indoors/outdoors, a certain room, etc.
Setting events: Does the behavior occur when certain items or equipment are present, e.g., food bowls, leashes, toys, chews?
Setting events: Who is present when the behavior occurs? People, other dogs, specific people/animals?
Setting events: With whom is the problem behavior most likely to occur?
Setting events: Does the problem behavior occur during a specific activity?
When does the problem behavior NOT occur?
What has already been tried to change this behavior?
A little about you...
Would you describe yourself as
a visual learner
you learn by doing
you learn by reading
Would you describe yourself as having an "all or nothing" attitude when taking on new tasks?
not at all
How do you like to get feedback when learning?
in the moment
after I have tried something new
I don't like getting feedback
anyway is fine
Do you have a schedule or planner for your week?
What are 3 activities you like to do with your dog?
Did you grow up with dogs? If yes, did you ever witness any training done with family dog?
Are you curious to learn about the science of canine behavior, or would you prefer not to?
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