Canine Mastery - Initial Dog Assessment
Please fill out the form entirely, one for each pet.
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
Suburb
State / Territory
Post Code
Email
*
example@example.com
Re-enter
*
example@example.com
Dog's Name
*
Dog's Date of Birth
*
-
Day
-
Month
Year
Date. If unsure, please guess approximate Date.
Approximate Weight
*
In Kgs.
Breed
*
How old was your dog when he/she was spayed/neutered?
*
Type INTACT. if your dog has never been spayed/neutered
How old was your dog when you acquired him/her?
*
What is your dogs regular diet? And how many meals do you feed him/her per day?
*
Where does your dog sleep?
*
Is your dog usually inside or outside?
*
Have you identified any problems with your dogs behaviour?
Aggression (Towards Dogs/People)
Resourse Guarding (Food/Toy/Human)
Excessive Barking
Recall
Name Dis-association
Leash Pulling
Seperation Anxiety
Other
Other
Please describe your current dog training goals:
*
Have you employed a dog-trainer previously? If so, please provide details.
How did you hear about us?
*
Internet Search
Facebook
Instagram
Referral / Word-of-mouth
Other
If referred by a friend, please tell us who so we can thank them:
Desired outcome/s from training:
*
Pet / Companion Dog
Sport Dog
Family Dog - Good with kids
Working dog (Agencies)
Security Working Dog (for security companies)
Other
If you have anything further to add, please note these here:
Assessment Notes - Trainer to complete
Thank you for choosing Canine Mastery (previously Jago K9)
Luca Campanella (Head Trainer) - 0405 335 343 - jagok9dogtraining@gmail.com
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