Customer Details:
Full Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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E-mail
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example@example.com
Co-Owner Name
First Name
Last Name
Co-Owner Phone number
Please enter a valid phone number.
How did you hear about us?
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Please list 2-3 dates and time ranges for the in home evaluation:
Dog's Name
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Dog's Breed(s)
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Dog's DOB
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Dog's Age When Acquired
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Name of Breeder/Rescue where acquired from
Dog's Sex
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Unspayed Female
Intact Male
Spayed Female
Neutered Male
Vet Clinic Name
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What Flea/Tick and Heartworm Preventatives do you use?
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List Any Medical Conditions, Medications, and Supplements:
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What Food Are You Feeding?
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How Much and How Often? What is your typical feeding routine? Do you free feed? Feed in the Crate? Make your pup sit and wait before eating?
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Please list any allergies or sensitivities:
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Have You Owned a Dog Before?
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Yes
No
Only a family dog while growing up
How much time can you spend working with your pup per day? (There are no wrong answers, this helps us pick the best program for you.)
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Under 15 minutes
15-30 minutes
30-60 minutes
60+ minutes
What type of training are you interested in? (i.e. private lessons, day train, or pet sit and train?)
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What types of collars/harnesses/tools have you used so far?
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We use all different training tools to help you and your pup including, chain collars, prong collars, and electronic collars as well as treats. You are ok with this?
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Yes
No
Please list household members and children's ages.
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Are there other animals? Please list along with any issues.
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Does your dog go to daycare or have a dog walker? How do they do?
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Best describe your dog's behavior when meeting new dogs
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Submissive
Nervous
The boss / dominant
Aggressive
We avoid other dogs
When interacting with new people or visitors, has your dog ever: (check ALL that apply)
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Goes up to people and wants to be pet, may jump on them
Hid, ran away, cowered, or tried to escape
Barked excessively
Snapped/Nipped at someone
Made a contact bite
When getting bathed, groomed, having nails trimmed, or being examined by the vet has dog ever (check all that apply)
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Growled
Snapped/Bitten
Cowered/Hidden
Cried/Whimpered
No issues
Behavioral Concerns and explain any details in the next section (please check all that apply)
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Puppy Nipping / Mouthing
Biting (no blood drawn or medical attention needed)
Biting (medical attention required)
Jumping on People
Pulling on the leash
Excessive barking in the house
Excessive barking in the yard
Excessive barking/nonsense in the crate
Destructive (Chews/eats your personal items or property)
Reactive to other dogs (barking/lunging/etc.
Reactive to people inside the home/property
Reactive to people outside the home/property
Muzzle needed at groomer/vet
Growls over food
Growls over toys
Growls over space (couch, bed, kitchen, etc)
Growls over you or other household members
Fights with other animals inside the home
Fights with other animals outside the home
Eats feces
Marks inside the house
Not reliably house trained
Doesn't ride well in vehicles
Shows anxiety or fear
Scared of loud noises (fireworks/thunder)
Doesn't come when called
Doesn't respond to commands (sit, down, etc.)
Digging
Counter Surfing / Trash Picking
Running Away and staying within view
Running Away out of view
Please list any details from the behavioral concerns checklist if needed:
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What are your top 3 training goals?
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