Training Evaluation Form
Please fill out the form entirely, one for each pet.
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dog's Name
*
Dogs Age
Approximate Weight
*
In Lbs.
Breed
*
Where did you acquire your dog?
*
(Breeder, rescue, shelter, friend, etc.)
Dog's Veterinarian
*
Veterinarian's Phone number and address.
Please, upload proof of current vaccinations.
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Please, list any known medical conditions.
Is your dog spayed/neutered?
*
Yes
No
How old was your dog when you brought him/her home?
*
What food is your dog eating?
*
How much does your dog eat?
*
How often does your dog eat?
*
Have you ever owned a dog previously?
*
Yes
No
I grew up with dogs, but this is my first dog as an adult.
Please, list any other animals in the house.
How many adults are in the home?
*
How many children are in the home?
*
Has your dog aggressively bitten?
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Yes, my dog bit me
Yes, my dog bit a family member
Yes, my dog bit a stranger
Yes, my dog bit another family dog
Yes, my dog bit a non-family dog
No
Other
Behavioral Concerns (Check all that apply) *Please, understand that reactivity is defined as a negative emotional response.*
*
Puppy nipping/mouthing.
Biting (No blood drawn/ No medical attention)
Jumping on people.
Pulling on leash.
Begging for food.
Excessive barking inside the home.
Excessive barking in crate.
Destructive behavior in crate.
Destructive behavior outside the crate.
Reactive to other dogs on leash (barking, lunging, etc)
Reactive to other dogs off leash (barking, lunging, etc)
Reactive to people inside the home/property.
Reactive to people outside the home/property.
Muzzle needed at groomer or vet
Growls over food
Growls over toys
Growls over a space (kitchen, bedroom, couch, bed, etc)
Growls over you or a member of the house.
Fights with other animals in the home.
Fights with other animals outside the home.
Eats feces
Marks inside the house
Reliably potty trained
Crate trained
Regularly crated
Doesn't ride well in vehicles
Doesn't do well with nail trims
Shows anxiety or fear
Afraid of loud sounds (ie. fireworks or thunder)
Does not come when called.
Doesn't listen to commands (ie. sit, down, etc.)
I feel like my dog is "stubborn"
I feel as if my dog is "blowing me off" when I give commands.
None of the above
Other
How long has this been an issue?
*
Please describe your dog training goals:
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What commands/cues does your dog know?
*
Sit
Down
Come/Here
No
Place/Climb
Kennel/Crate
Heel
Release word (ie. Free)
Leave it/Drop it
Tricks (shake, sit pretty, touch, etc)
Other
Does your dog primarily live inside or outside?
*
Where does your dog typically go potty?
*
Which program are you most interested in?
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Private Lessons
Board and Train
How much time do you have to dedicate to training with your dog on a daily basis? (There is no wrong answer. This will help us understand how to shape your program.)
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Less than 10 minutes or no time at all
10-30 minutes
30-60 minutes
More than 1 hour
Do you understand that dog training requires patience and consistency from all members of the household?
*
Yes
Do you understand that every dog is different and no training result is ever guaranteed?
*
Yes
Do you understand that once you begin a program there are no refunds?
*
Yes
Do you understand that if you are late for a lesson you may lose that time and we will still end the session at the appointed time?
*
Yes
I understand that I am obligated to tell The Clever Dog Company if my dog has a history of aggression of any kind, not limited to biting animals or humans.
*
Yes
How did you hear about us?
*
Internet Search
Loyal Bella
Facebook
Instagram
From my Vet
Word of Mouth/From a Friend
Other
If referred by a friend, please tell us who so we can thank them:
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