Get to Know You questionnaire

Client & Dog Information
Date

MonthDayYear
Date
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Cell phone
Please enter a valid phone number.
Work phone
Please enter a valid phone number.
Dog’s Name
Breed, sex, age
Describe your dog’s daily routine so far
Why did you get this particular dog/breed?
What kind of activities would you like your dog to be part of?

Relax with the family in the housePlay outside in the backyard with the familyPlay outside on the front yard with the familyTake leash walks in the neighborhoodTake leash walks in other neighborhoods or trailsTake off leash walks in parksRun errands in the carGo on family vacationsBe comfortable being boarded while family is away
Other, please describe
Any behavior struggles that dog is having

HousesoilingJumpingNippingChewingBarkingChasingPulling on leashAggression with people, dogs, other animalsNot coming when calledOther
If "other", please describe
Have you done any training with your dog? Where did you do the training? Can you describe the basic approach you learned to train your dog? Did you feel you got the results you were looking for? How did your dog respond to this training?
What are your goals for training your dog?
Name 3 things you love about your dog
Anything else you’d like us to know about your dog?

How does your dog react when he/she encounters:

Client & Dog Information