Dog Training Form

Owner/Family Information

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

E-mail

Please list all other human family/household members. (Or write "none.")

Which family members will participate in the training? Even a few minutes per week helps!

Briefly state what you hope to accomplish with training.

Dog Information

Please focus on the dog most needing assistance. Space to discuss additional dogs, if needed, is at the end of this section.

Dog's name

Breed/mix, if known, or best guess

Current age

How old was the dog when you acquired him/her?

How long have you had the dog?

Gender and spay/neuter status

Where did you acquire your dog?

What do you feed your dog and how frequently does s/he eat?

How do you feed your dog?

Other

Please describe your dog's physical exercise and mental enrichment. (For example: two 30-minute walks per day; 20 minutes per day of yard or in-home play or sniffing/exploring with humans or another dog; dog park once a week; doggie daycare twice a week; snuffle mat 3 xs per week; long hike every couple of weeks; etc.)

Does your dog have any food sensitivities or allergies? If so, please indicate which ingredients must be avoided.

What does your dog absolutely love?

Other

If you have dogs other than the one described above, please provide the name, age, gender, and breed/mix of each as well as how long you've had them.

Please describe food/feeding, enrichment, and exercise for the additional dog(s), if any.

If you have other pets, such as cats, please provide names and brief descriptions.

Veterinary Information

Please focus on the primary dog requiring assistance. The last question in this section provides space for additional dogs, if needed.

Veterinarian/Clinic

Is your dog current on vaccinations including rabies? (Current rabies vaccination is required for an in-person session. If needed, we are happy to help you find low-cost options or a vet who can handle dogs with anxiety, fear, or aggression issues.)

List all medications your dog is currently taking. Please include heartworm, flea and tick preventatives, behavior meds (such as Prozac), and supplements (such as fish oil or Calming Care). If none, please type "None."

Please list any medical conditions or injuries your dog has had, even if years ago. This is important as pain -- or past pain -- can affect behavior. Examples include a previous (and healed) broken bone, a current diagnosis of Cushing's disease, etc. If none, please type "None.":

For households with additional dogs: Please indicate whether other household dogs are up to date on rabies and whether they have any medical conditions or current/past injuries. If none, please type "None."

Behavior Information

Please focus on the primary dog requiring assistance. The last question in this section provides space for additional dogs, if needed.

Please describe any previous training or behavior modification you've done with this dog (e.g., group classes, private one-on-one sessions, board n train, or online courses), or type "None.":

What training approaches or tools have you used with this dog (even if you're not currently using those techniques or tools)?

Level of success with prior training?

What cues does your dog know best?

What behavior issues or skills would you like to address?

Please describe the unwanted behavior(s) or the skills you'd like to work on In greater detail:

Do you use a crate?

Does your dog like the crate?

Describe situations where your dog appears fearful, anxious, and/or aggressive (if not described above). If your dog rarely appears to be obviously fearful, anxious, or aggressive, write "N/A."

Do you ever muzzle your dog for safety?

Is anyone in your family afraid of your dog? If so, please describe why and in which circumstances:

Has your dog ever bitten a person?

On how many occasions has your dog nipped or bitten a person?

Has your dog ever bitten another dog?

How many times has your dog had scuffles with other dogs?

Has your dog ever been reported to Animal Control?

For households with additional dogs, please describe any behavior issues or skills you'd like to work on with these dogs, if time allows, or any ways in which you think these dogs may be contributing to issues or trickiness with the dog described above.

Considering all of your answers above, please describe your TOP THREE priorities for the primary dog needing assistance.

Click submit to send your form to Muttamorphosis Dog Training.

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Muttamorphosis Dog Training Intake Form