In-Home Training Questionnaire
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
City of Residence
Dog's Name
Breed
Age
Gender
Male
Female
Spayed/Neutered
Yes
No
Any formal obedience training in the past
Yes
No
Food motivated
Yes
No
Training and behavior modifications needed (check all that apply)
Housebreaking
Crate training
Basic obedience - sit, down, stay, come, place
Leash manners
Leave it
Drop it
Jumping
Nipping
Chewing
Digging
Other destructive behavior in the home
Nuisance barking
Door dashing
Travel carrier acclimatization
Coprophagia (eating of feces)
Has your dog ever exhibited (check all that apply)
Aggression towards other dogs
Aggression towards people
General anxiety
Separation anxiety
Personality (check all that apply)
Outgoing and friendly with other dogs
Shy but friendly with other dogs
Afraid of or dislikes other dogs
Outgoing and friendly with people
Shy or fearful of people
Excitable / High energy
Mellow / Low energy
Loves to play with other dogs
Doesn't play with other dogs
Loves to play with toys
Doesn't play with toys
Potty habits (check all that apply)
Needs potty training
Fully trained - potty outside
Fully trained - pee pads inside
Almost trained - sometimes has accidents
Eating habits (check all that apply)
Has scheduled meal times
Grazes throughout the day
Good eater
Picky eater
Sleeping habits (check all that apply)
Crate trained
Sleeps in owner's bed
Sleeps anywhere
Allowed on furniture
Yes
No
Current on all vaccines
Yes
No
I don't know
Any allergies, medical conditions or physical limitations. It so, please explain
Anything else we should know about your dog
Preferred contact method (check all that apply)
Call
Text
Email
Any are fine
Preferred time of day for a session
Morning
Afternoon
Anytime of day
Preferred day(s) for a session (check all that apply)
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Any day
Please verify that you are human
*
Submit
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