Dog Consultation Intake Form

Dog Consultation Intake Form
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How many people are in your household?
How would you describe your household?

Very quiet and mellow Sometimes mellow, sometimes exciting Exciting and sometimes chaotic!
If Other, please describe below.
Dog's Name *
...and their age *
Spayed or neutered? *
Breed or breed mixture? *
Male or Female? *

Male Female
Please list their medical condition or injury as well as any related special requirements.
How would you describe your dog? *

Confident and friendly Shy and nervous High energy! Always on the go! Low energy...loves to relax Friendly with other dogs Wary of other dogs Loves to play with you Loves to chase and hunt in the woods/park/beach Can be trusted off leash Reliably comes back when called
What is your previous experience with dog training in general? *
Have you done any previous training with this dog? *
What challenges are you experiencing with your dog? *

Basic Obedience Pulling on leash Over arousal/excitement Nervous or anixous dog Maintaining focus Reactivity to other dogs/wildlife I'm not really sure!
Any other challenges you would like addressed in training? *
Any other comments or questions? *
Should be Empty:

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