Dog Training Consultation Form

Glad you are here!

Please fill out the form below, then at the end pick what days and times work best for a consultation call to go over everything in detail. We will review your training goals, current status, and be in contact shortly.
What services are you most interested in. Please select all that apply. A private lesson must be booked to evaluate your dog prior, and make the best training plan.

Private lessonsField Trip TrainingWalk and TrainGroup Hikes
Owner Information
Full Name*

First Name Last Name
Address*

Street Address line 1

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number*

Area Code Phone Number
E-mail*
How Did You Hear About Us?*
Have You Ever Owned A Dog?*
Have You Ever Trained A Dog?*
Are there children residing in the home with the dog?*
Briefly State What You Hope To Accomplish In Our Lessons:*
Dog Information
Dog's Name*
Breed*
Age*
How Old Was The Dog When You Acquired It?*
Gender*

MaleFemale
How Long Have You Owned The Dog?*
Has Your Dog Been:*

SpayedNeuteredNone of the Above
Where Did You Acquire Your Dog?*
Where Does Your Dog Sleep At Night?
Is Your Dog House Trained?
Veterinary Information
Veterinarian
Vet Clinic
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Is Your Dog Current On All Vaccinations Including Rabies?*

YesNo
Vaccination Dates:
Rabies:*
DHLP:*
Please List All Medications Your Dog Is Currently Taking. Please Include Heartworm, Flea and Tick Medications, etc*
Please List Any Medical Problems Your Dog Has Had:*
Behavior Information
Describe Any Previous Obediance Training:
Level Of Success?
What Commands Currently Work Best?
Which Member Of The Family Has The Best Control?
Does Your Dog Know How To Walk On A Loose Leash?*

YesNo
How Does Your Dog Respond To The Following Tasks?
Giving Pills?*
Trimming Nails?*
Cleaning Ears?*
Grooming?*
Bathing?*
Patting Head?*
Grasp Collar?*
Tell Me About Any Correction Techniques You Have Used And Their Effect On Your Dog’s Behavior:
Leash Correction*
Verbal correction*
Noisemaker*
Other*
Other Description, If Needed:
Behavior Problems:*

Jumping UpChewingDiggingBarkingHowlingWhiningUrinatingStool EatingTail BitingTail ChasingStaringAggressionRunning away
Describe Unwanted Behavior In Greater Detail:*
Describe how your dog reacts when left alone During The Day:
What Is Your Dog's Reaction To Your Departure?*
What Is Your Dog's Reaction To Your Homecoming?*
Do You Use A Crate?*

YesNo
Does Your Dog Like The Crate?*

YesNo
Does Your Dog Exhibit Any Of The Following Behaviors, and When Does It Occurs (With Men, In The Car, Certain environments, etc)
Cowering
Ears Back
Tail Tucked
Retreating
Hiding
Excessive Salivating
Pacing
Please Give Additional Information Regarding Fear Or Anxiety In Your Dog:
Describe Situations Where Your Dog Appears Fearful And/Or Aggressive:
Do You Ever Muzzle Your Dog For Safety?*

YesNo
Is Anyone In Your Family Afraid Of Your Dog? If So, Please Describe:*
How Does Your Dog Respond To The Following Situations?
When Approached While Eating:*
When Approached With Treat Or Toy:*
When Dog Is told to get Off Furniture Or Bed:*
When Dog Is Scolded:*
When Dog Is Approached While Sleeping:*
To Strangers Outside Of The House:*
To People Entering House/Yard:*
To Children Or Infants:*
While In Car To People Outside Of The Car:*
To Other Dogs In Your Home:*
To Other Dogs Outside Your Home:*
Ever Aggressive To Family Members?*

YesNo
Has Your Dog Ever Bitten A Person?*

YesNo
Has Your Dog Ever Been Reported To Animal Control For Biting?*

YesNo
Thank you for taking the time to give me all the details about your dog. Please list what days of the week and times work best for a consultation call. Where we will discuss the best course of action for you and your dog.
By hitting submit you agree that all statements and answers are true and correct to the best of your knowledge.
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Glad you are here!

By hitting submit you agree that all statements and answers are true and correct to the best of your knowledge.