121 Consultation Form

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
4
Phone Number* This field is required.
Area Code
Phone Number
5
How did you hear about us?* This field is required.
Social Media
Google
Local Vets
Client/Friend
Other
6
Dogs Name* This field is required.
7
Dogs Breed* This field is required.(List all that apply if you have a crossbreed)
8
Why did you choose the breed?* This field is required.Please tell us why you chose the dog or breed you have so we can better understand your needs
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9
Dogs Sex* This field is required.
Male
Female
10
Dogs Age & D.O.B* This field is required.
11
Spayed or Neutered?* This field is required.
Yes
No
12
Vet Details * This field is required.
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13
Are you a first-time dog owner?* This field is required.
YESNO
14
Where did you get your dog?* This field is required.
Breeder
Rescue Centre
Friend/Family
Other
15
Is your dog a working dog?* This field is required.Is your dog trained for a specific job?
YESNO
16
What is your dogs natural energy level?* This field is required.
17
How much exercise does your dog get daily and what type of exercise?* This field is required.
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How many hours does your dog spend home alone?* This field is required.
19
Where does your dog sleep at night?* This field is required.
20
Is your dog crate trained?* This field is required.
21
Do you have an enclosed garden?* This field is required.
22
Have you attended any training classes, 121 or online training before?* This field is required.(If yes, please give details)
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23
Previous dog experience?* This field is required.Please tell us what experience you have with dogs as this can help us identify where you are in your training journey
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24
Does your dog exhibit any of the following behaviour problems?* This field is required.(Select all that apply)
Excessive Barking/Howling
Object or Food Stealing
Sleep Problems
Pulling on Lead
House Soiling/Marking
Mouthing
Chasing (cars, people, animals)
Jumping up
Fearfulness
Running Away
Reactivity with People
Reactivity with Dogs/Other Animals
Puppy Biting
Poor Recall
Lack Focus/Engagement
Resource Guarding
Separation Anxiety
Obsessive Behaviours
25
What are your current training goals?* This field is required.121 sessions are ideal for working on 1 or 2 problem areas, in order to assist you, please tell us which problems you immediately want to address.
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26
What methods have you already tried to help with your current training issues?* This field is required.
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Ok
27
What basic behaviours or commands does your dog already know?* This field is required.(Select all that apply)
Their Name
Sit
Stay
Wait
Down
Come/Recall
Stand
Leave
Drop
Crate/Bed
Settle
Touch/Target
Fetch
Watch Me/Eye Contact
Off
Over
On
Under
Through
Park/Middle
Find It
Heel
Catch
Spin
Paw/Shake
Outside
Toilet Trained
Muzzle Trained
28
Other tricks?* This field is required.(Pleas describe any other tricks, commands & behaviours not listed above)
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29
Do you have any future aspirations with your dog?* This field is required.Please select all that apply
No
Agility
Hoopers
Barn Hunt
Obedience Trials
Scentwork
Flyball
Disc Dog
Lure Coursing
Rally Obedience
Dock Jumping
Heelwork to Music
Cani-cross
Shutzhund
Sheepdog Trials
Dog Parkour
Field Trial
Weight Pulling
Trick Trails
Racing
Mushing
Herding
Sheep Ball
Bikejoring
IPO
Therapy Dog
Service Dog
Mantrailing
30
What type of diet is your dog mainly on?* This field is required.Please select all that apply
Dry (kibble)
Wet (tins, trays, pouches)
Raw
Cooked
31
Which brand of food do you mainly use?* This field is required.
32
Does you dog have any known food allergies?* This field is required.
YESNO
33
Does your dog have any current health issues?
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Ok
34
Which services are you interested in?* This field is required.select all that apply
Puppy Classes
Adolescent Classes
121 Puppy Course
121 Training Session
Online Training
Scent Work
Trick Workshop
Parkour
35
Booking* This field is required.Please select a time and date suitable for your training sessions from the available dates below
36
121 Training Options* This field is required.Please select which service you wish to book. If you are unsure or don't see an option you require, please contact us to discuss.
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ORDER SUMMARY
Total costGBP
Puppy 121 SessionChoose this option if you cannot attend puppy classes or want a head start with training your puppy. This session is jam-packed with valuable information and training which is suitable for all puppies under 6 months.
£49.00+Edit
Back
Single 121 SessionChoose this option if you would like a single 121 session to work on your problem areas.
£65.00+Edit
Back
121 Block Session (x3)This option is for 3x 121 sessions (more than 1 session may be required depending on the training issues you want to fix. Please contact us if you are unsure) £60 per session
£180.00+Edit
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121 Block Session (x5)This option is for 5x 121 sessions (more than 1 session may be required depending on the training issues you want to fix. Please contact us if you are unsure) £55 per session
£275.00+Edit
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Rapid Recall 121 PackageSelect this option if your problem area is recall. This is a package of 3x weekly sessions designed to provide you and your dog with an excellent recall time after time!
£99.00+Edit
Back
Loose Lead 121 PackageSelect this option if your problem area is lead issues. This is a package of 3x weekly sessions designed to stop your dog pulling and start enjoying the walk again!
£99.00+Edit
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Total cost £0.00
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