Questionnaire

First and Last name*
Home Address (house #, street and city)*
Cell phone*
Email Address*
example@example.com
Best way to contact you?*

TextEmail
Emergency Contact name, address and phone number*
How did you hear about us?
Other Members of Household and Ages*
Other dogs in the house? List breed, age and if neutered/spayed.*
Vet information*
Name of Dog*
Breed(s)*
Sex*
Age*
Weight*
Color*
Neutered or Spayed?*
Age when neutered?*
How long have you had your dog?*
Where was your dog obtained? Please name breeder or rescue/shelter.*
Dog walker or daycare provider you use (if any)*
Medical/physical limitations or allergies?*
Flea/tick preventative*
Heartworm preventative*
Are they on any other kind of medication?*
What brand of kibble do you feed?*
We may focus on diet for the betterment of your dogs mental, physical and behavioral health. Are you open minded to changing food or making changes to their diet to supplement training?*

YesNo
How many *measured* cups do you feed your dog daily? Keep in mind a scoop is not the same as using a measuring cup.*
How do meal times go? Do you feed in their crate, in the kitchen, are they super excited or wait patiently, do they have to eat alone, etc.*
Is your dog crate trained?*

Yes, quiet during the day and at nightYes, but only quiet at nightNo
Is your dog potty trained?*

YesNo
What does a typical day for your dog look like? Morning to night. Be specific.*
Has this dog been to training before? If so, where and what did they learn?*
What did/didn't you like about the last trainer?*
Is your dog allowed on the furniture? If so when?*
How long is your dog home alone during the day?*
How do they act when left home alone?*
How does your dog react when people enter your home?*
How much and what type of exercise does your dog get daily? *
Is your dog sensitive to any body parts being touched or handled? Please explain.*
Do you have any rules your dog must follow? Example: sitting at the door, no begging for food, sit and wait to be fed.*
Is your dog possessive (growling, nipping, biting) of toys, food objects, people, areas (couch or bed), or other resources? Please describe. *
Has your dog ever growled at anyone? Please explain.*
Has your dog ever bitten anyone? Please explain severity, if medical attention was needed and what body part that was bitten.*
Has your dog ever bit or fought with another dog or animal? Please explain.*
Does your dog have any obsessive behaviors? Examples: tail chasing, licking grooming, barking or light/shadow chasing?*
What are your top 3 complaints about your dogs behavior?*
What are your top 3 favorite things about your dog and their behavior?*
What are the top 3 things you want to get out of training?*
What activies would you like to do with your dog after training? Hiking, patio restaurants, fairs, camping, pet friendly stores, etc.?*
Please select all behaviors your dog does*

JumpsGrabs food from hand or counterBarks at everythingEats non food itemsRuns away/doesn't come when calledBolts out the doorDigsCrazy when guests come overPulls on leashDoesn't listen outside of the housePlay bitingBarking when they see peopleBarking when they see other dogsOverly exciteable
Ideal Companion Dog Training may use, but not limited to; treats, crates, slip leashes, Starmark collars, prong collars, ecollars, muzzles, pet correctors, chew deterrents, leashes, long lines, etc. Are you okay with the proper and humane use of these tools approaches for the betterment of your dog?*
The next step is an in person consult at De Soto City Park ($50). If you reschedule or cancel a consult within 24hrs of the meeting you must pay for that consult and prepay for the reschedule. If you do not call and do not show up you will be required to pay for the no show and prepay for the next consult to be scheduled. Do you understand?*

YesNo
I understand that I am responsible for ensuring my dog is up to date on his/her rabies and other vaccines prior to training. I affirm that any medical concerns or symptoms will be conveyed to the trainer prior to my dog's training date. Any newly aquired dogs must be in the home with the dog guardian(s) for minimum of two weeks before the dog's training program. This will allow time for the dog to acclimate and any illness to manifest. I also understand that I need to provide Vet records for current vaccines and preventatives prior to the start of training.*

I understandI do not understand
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