Name
First Name
Last Name
Primary Email
example@example.com
DOG INFORMATION
If you are inquiring about more than one dog please complete an additional form.
Name
How old is your dog? Are they spayed/neutered or intact?
What breed or mix?
PRESENTING PROBLEM #1
What is the main reason/problem that you are inquiring about?
Background: When did you first notice tendencies of this problem behaviour?
Has there been a recent change in the behaviour? (More frequent? More intense? Different circumstances?)
How often does it occur?
Can you anticipate when it is likely to happen? (When, where, who is present, trigger, etc.)
Why do you think your dog is doing this?
What have you done so far to address this problem? With what effect?
What would you consider an acceptable goal/outcome of a training program?
Please describe several recent incidents in as much detail as possible.
PRESENTING PROBLEM #2
or skip to next section
What is the secondary reason/problem that you are inquiring about?
Background: When did you first notice tendencies of this problem behaviour?
Has there been a recent change in the behaviour? (More frequent? More intense? Different circumstances?)
How often does it occur?
Can you anticipate when it is likely to happen? (When, where, who is present, trigger, etc.)
Why do you think your dog is doing this?
What have you done so far to address this problem? With what effect?
What would you consider an acceptable goal/outcome of a training program?
Please describe several recent incidents in as much detail as possible.
Background Information & Questions
What are your reasons for having a dog?
Where did you get your dog from? Include name of organization if known.
How old was your dog when you got him/her?
What are some of your reasons for choosing this particular dog?
How food motivated is your dog? 1 - 10 (finicky ... voracious)
Please Select
1
2
3
4
5
6
7
8
9
10
Please describe your dog’s mealtime. (Where, when, how often, who feeds, special routine, etc.)
Does your dog guard their regular meal against humans? (growl, snap, etc.)
What would your dog say that her/his favourite pastimes are?
Play: What types of play do you engage in with your dog? Please describe.
Leash Walks: Please describe: How often? Where? How does your dog act on leash?
Walking gear: Please describe: What kind of leash, collar or harness do you use now?
What have you tried in the past?
Off leash time: Does your dog get off leash time? Please describe: Why or why not? Give any details.
Muzzle: Does your dog use a muzzle for any reason?
How long is your dog left alone on an average day?
Where is your dog kept when you are not home?
What does your dog do when left home alone? Fine? Okay? Anxious/distressed?
Is your dog content in a crate? If no, please describe history of exposure and opinions on crate training.
Day: What does your dog do when you are at home and not interacting with them?
Do you have any special rules and boundaries in your home, yard, etc.?
Where does your dog rest in the day when you are home?
Where does your dog sleep at night?
How does your dog react when familiar people come to your home? Please describe: (Bark, jump, mouth, calm, etc.)
How does your dog react when unfamiliar people come to your home? Please describe: (Bark, jump, mouth, calm, etc.)
Does your dog join you on car rides? Please describe: (How often? Where? How does your dog act? What type of vehicle? Where in the vehicle do they ride? etc.)
Which grooming tasks do you perform yourself? List: (Bathing, brushing, trimming, nail clipping, teeth cleaning, ear cleaning, none, other...)
How does your dog react? Please describe: (Calm, struggle, resist certain parts, bite, use a muzzle, etc.)
Does your dog go to a groomer?
Is your dog fully housetrained?
Does your dog urinate when excited/greeting/stressed, etc? Please describe.
What do you like about your dog? Name 2 or 3...
What do you find most annoying about your dog? Yes, you can mention that. Name 2 or 3...
What are some training goals that you would like to work towards?
What are some of your training successes? Tricks count.
What are some of your training challenges?
How do you let your dog know when they have done something “good”?
What are some of your dog’s favourite rewards? Be specific.
How do you let your dog know when they have done something “bad”?
What types of corrections have you tried or currently use? (interrupt, redirect, time out, verbal reprimand, physical reprimand, scruff, muzzle grab, alpha roll, squirt bottle, throw chain, shake can, choke collar, pinch collar, citronella collar, electronic/stimulation/shock collar, etc.)
With what effect? (ie: no change, stopped behaviour, got worse, only worked with certain person, etc.)
Has your dog participated in any professional training before? If yes, please describe.
What type of methods were used?
How was your experience and the results?
Have you ever used the services of a trainer with a past dog? If yes, with who? Please describe the experience: (Reason, training given, outcome, etc.)
How did you hear about us?
How would you describe your dog’s sociability with other dogs in general?
dog social
dog tolerant
dog selective
dog defensive
dog aggressive
What is your dog’s typical play style: Chase? Bully? Wrestle? Body slam? Other?
Does your dog attend doggie day care, dog walker or a boarding facility?
Does your dog regularly attend “Dog Parks”? If yes, please describe: park type, dog interactions, your dog’s behaviour, etc.
Have they bitten another dog and broken skin?
Does your dog react when being handled, grabbed, restrained, etc.? If yes, please describe.
If disturbed while resting or sleeping?
When visitors come to the home and property?
When visitors move around inside the home? If yes, please describe.
When out on a walk and sees people in distance? If yes, please describe.
When out and about and people pass. Jogging, on bikes, skateboards, etc.?
When around familiar children?
When around unfamiliar children?
When around toddlers? If yes, please describe.
Total number of bites (that did or did not break skin):
Did your dog show worrisome behaviour as a puppy?
How old was your dog the first time he/she growled at a person?
Is there anything else that you would like us to know about your situation or your dog?
On a scale of 0-10, how much does learning to train your dog interest you?
How much time per day total are you able to dedicate to training?
Thank you for taking the time to complete this form. Looking forward to meeting you and your dog !!
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