Training Questionnaire
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Text?
Yes
No
Email
example@example.com
Address
Street Address
City
State
Zip Code
Pet Info
Pet Name
Age
Breed
Spayed or Neutered?
Yes
No
If no, are you considering?
Yes
No
Where did you acquire dog?
How long have you had dog?
Have you attempted any prior training?
Yes
No
If yes, where?
What were the results of prior training?
Does the dog display any of the following behavioral issues? Check all that apply.
Aggression towards people
Aggression towards dogs
Anxiety
Fear of other dogs
Fear of people
Fear of loud noises
Fear of storms
Fear in new environments
Other _________________________________________
Has the dog attempted or successfully bitten?
a person
another animal
What are the top 3 issues or problems you are needing addressed?
What are your long term training goals?
What exercise does the dog frequently receive?
Dog Health
What veterinarian do you use?
Is your dog current on vaccinations? (a copy of vaccines will be required at initial class)
Yes
No
Does your dog have any medical conditions?
Yes
No
If yes, please list
Is your dog on any medications other than preventatives?
Yes
No
If yes, please list
Does your dog have any food allergies?
Yes
No
If yes, please list
Courses
Have you reviewed the available courses?
Yes
No
What courses are you considering?
Class
Private
Puppy
Basic Obedience
Tricks
Canine Fitness
Therapy Dog
Behavior Problems
Loose Leash Walking/Heel
Recall/Come
Specialty
What day of the week and time is possible with your schedule? Choose as many as possible.
Tuesday
Morning
Afternoon
Wednesday
Morning
Afternoon
Thursday
Morning
Afternoon
Friday
Morning
Afternoon
Saturday
Morning
Afternoon
By signing below I, as the legal owner/agent of the pet noted in this agreement, do hereby state the above information is true and complete to the best of my knowledge. I understand K9 Biz may utilize some or all of this information during the dog training program and I have taken special care to present the information in an accurate fashion.
Owner/Agent
Name
Date
Trainer
Name
Date
Submit
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