New Inquiry Contact Form
Please fill out this questionnaire to help us better understand your needs, your dog's needs, and your training goals. By getting this information beforehand, we will be able to spend more of our time together focused on solutions and interacting with your dog instead of gathering information. All answers and information is confidential and will not be shared.
Contact Information
Primary Owner's Name
*
First Name
Last Name
Second Owner's Name
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dwelling Type
*
House
Townhouse
Apartment/Condo
Other
Primary Owner's E-Mail
*
example@example.com
Second Owner's E-Mail
example@example.com
Primary Owner's Phone Number
*
Please enter a valid phone number.
Second Owner's Phone Number
Please enter a valid phone number.
Tell Me About Your Dog
Dog's Name
*
Dog's Age
*
Dog's Breed/Mix of Breeds
*
Dog's Sex
*
Male, Intact
Male, Neutered
Female, Intact
Female, Spayed
If your dog has been fixed, at what age?
*
Where did you get your dog?
*
How long have you owned your dog?
*
Is your home a multiple-dog home?
*
No
Yes
Second Dog's Name
Second Dog's Age
Second Dog's Breed/Mix of Breeds
Second Dog's Sex
Male, Intact
Male, Neutered
Female, Intact
Female, Spayed
Where did you get your second dog?
How long have you owned your second dog?
Other animals in the home not already listed?
*
Veterinarian Information
What Veterinarian clinic do you use?
*
Your Veterinarian's name?
*
Veterinarian's Phone Number
*
Please enter a valid phone number.
Is your dog current on annual immunizations?
*
Yes
No
Is your dog current on monthly flea/tick and heartworm preventatives?
*
Yes
No
Known medical conditions that may affect training and/or behavior? Is your dog currently on medication (in addition to monthly preventatives)?
*
May I contact your vet to confirm vaccination status?
*
Yes
No
Lifestyle
What kind of exercise does your dog get? For how long? How frequently?
*
Per WEEK, how many leashed walks do you take your dog on?
*
We do not go on leashed walks.
1-2 walks.
3-5 walks.
6-7 walks.
What and how much do you feed your dog? Please be specific.
*
Is your dog comfortable spending time in a closed crate?
*
Easy, peasy - they love it!
They'll go in, but they don't love it.
They are mildly destructive and/or whine or bark the whole time they're in the crate.
They experience severe anxiety, panic, and/or destructiveness inside the crate.
They refuse to go in and/or frequently break out of the crate.
When, if ever, do you utilize a crate?
*
Where does your dog sleep at night?
*
Where is your dog kept when no one is home?
*
Other human members of your household? Please include names and ages.
*
Primary Behavior Concerns
What behaviors, if any, apply to your dog(s) (select all that apply)?
*
Jumping on people.
Mouthing/nipping.
Potty training issues.
Fear of strangers.
Fear of dogs.
Fear of sounds.
Pulling on leash.
Chewing on furniture/household items.
Urinates when excited or startled.
Anxious when left alone.
Digging in yard.
Escaping from yard.
Willfully disobedient.
Steals food, household objects, trash.
Darts out of doors or gates.
Excessive barking/whining.
Excessive attention seeking.
Resource guarding toward other dogs.
Resource guarding toward household members.
Barking at dogs on walks.
Barking at strangers on walks.
Has your dog ever shown aggression toward another DOG? If yes, select all behaviors that apply.
*
My dog has never shown aggression toward another dog.
Hard staring.
Barking.
Growling.
Baring teeth.
Air snapping.
Lunging toward other dog aggressively.
Pinning other dog.
Biting resulting in no marks or punctures.
Biting resulting in superficial abrasions.
Biting resulting in 1-2 puncture wounds.
Biting resulting in many puncture wounds and severe damage.
Biting resulting in death of other dog.
Has your dog ever shown aggression toward a HUMAN? If yes, select all behaviors that apply.
*
My dog has never shown aggression toward a human.
Hard staring.
Barking.
Growling.
Baring teeth.
Air snapping.
Lunging toward person aggressively.
Biting resulting in no marks or punctures.
Biting resulting in superficial abrasions.
Biting resulting in 1-2 puncture wounds.
Biting resulting in many puncture wounds and serious damage.
Biting resulting in severe maiming or disfiguration.
Any other pertinent information about your dog or needs that would be helpful for me to know before we speak?
Which of our services are you interested in (select all the apply)?
Private Lessons
Group Classes
Board and Train
Puppy Training
Basic Obedience Training
Behavior Modification Training
Other
What times of day would be best for me to call you for a 30-minute phone consultation (select all that apply)?
Early Morning
Late Morning
Early Afternoon
Late Afternoon
Evening
What's Next?
After reviewing your form, we will call you for a phone consultation within 3 business days. During that call, we will discuss your form and relevant information, your training concerns and goals in more detail, and which, if any, of our services would be a good fit for your training needs and goals! Thank you for your time so far, and we'll speak with you soon!
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