Dog Consultation Intake Form
Street Address Line 2
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.
...and their age
Spayed or neutered?
Breed or breed mixture?
Male or 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?
Pulling on leash
Nervous or anixous dog
Reactivity to other dogs/wildlife
I'm not really sure!
Any other challenges you would like addressed in training?
Any other comments or questions?
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