Digging Dogs Training Center
Composed Canine Questionnaire
Digging Dogs Staff will contact you after form submission. Do not register for the class until we approve your attendance. Registration without approval may result in loss of class fee. The purpose of the questionnaire is to determine if your dog is a good fit for the class. ALL questions need to have an answer - if something does not apply, type in "none"
Your Full Name
*
Your Email
*
Today's Date
*
-
Month
-
Day
Year
Date
Your Phone
*
Your City/State/Zip
*
Dog's Name
*
Breed (if a mix, estimate what breeds)
*
Please upload a photo of your dog.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Approximate age
*
3-6 months
6-15 months
15 months - 2.5 years
2.5 - 5 years
Over 5 years
Approximate weight of dog
*
5-15 lbs
15-30 lbs
30-50 lbs
50-75 lbs
75-100 lbs
Over 100 lbs
What age was your dog when he joined your household??
*
6-8 weeks
8-12 weeks
12-16 weeks
16-24 weeks
6 months - 1 year
1 year - 2.5 years
2.5 - 5 years
Over 5 years
Do you have any other pets in the home? What type/sex/age?
*
We require dogs in our program to work on a Halti Optifit head halter (included in class fee.) What is your dog's neck size?
*
12-15.5 inches
15-20 inches
19-27 inches
Other
Is your dog healthy? If not, what condition is it being treated for?
*
Is your dog on anxiety medication? If so, what medication/purpose/dose
*
How long has your dog been exhibiting reactive behavior?
*
Always
Once he reached adolescence
Once he reached adulthood
Other
How does your dog behave around men?
*
Loves men
A little bit shy/nervous of men
Afraid of men reaching out to pet
Very afraid of men
May growl or bite
Other
How does your dog behave around women?
*
Loves women
A little bit shy/nervous of women
Afraid of women reaching out to pet
Very afraid of women
May growl or bite
Other
How does this dog behave around children under 10 years old?
*
Loves kids
Too energetic or rough for young children
Very gentle with children
Seems afraid of children
May growl or snap at children
Growls when child approaches food or toy
Other
How does this dog behave around strange dogs?
*
Barks and lunges - wants to play
Greets appropriately (nose to tail sniffing)
Stares the other dog down and may stiffen muscles
Submissive or afraid of other dogs
Hides behind owner
Will show the other dog their side or back end
Turns head away when the other dog stares at it
Lunges, barks, jumps or spins at end of leash
Raises hackles or low growls
Other
What situations trigger your dog's reactivity? Check all that apply:
*
Sees another dog through the window of our house
Sees a dog through the car window
Sees another dog in a neighboring yard when on leash
Sees another dog in a neighboring yard when off leash
Sees a dog when we are out for a walk - dog is more than 50 feet away
Sees a dog when we are out for a walk - dog is 25-50 feet away
Sees a dog when we are out for a walk - dog is on the other side of the street
Seeing dogs in a group class
Hears another dog barking
Hears/sees a motorcycle
Hears/sees a lawnmower or leaf blower
Hears/sees fireworks
Encounters a dog in a vets office
Encounters a dog in a grooming shop
Sees a person through the window of our home
Sees a person through the car window
Sees a person in a neighboring yard when on leash
Sees a person in a neighboring yard when off leash
Sees a person when we are out for a walk
Sees a parked car
Sees a moving car
Sees a moving bicycle
Sees people walking
Sees people running
Other
Once your dog exhibits reactive behavior, are you able to stop it? If not, what do you do?
*
Has your dog ever bitten another dog or human? Describe in detail - when, where, what, how serious (requires medical treatment.)
*
What training experience do you have?
*
I have no training experience
I understand basic learning theory
I have attended several classes & know the basics
I am a skilled trainer
Other
What formal training has the dog had?
*
Group classes
Private lessons
I have trained the dog myself
Other
If your dog had formal training, what training modality was used?
*
Positive reinforcement
Balanced method (both positive & correction)
Traditional (correction based)
E-collar (correction based)
Other
What type of equipment do you use when walking your dog??
*
Buckle /snap collar
Martingale collar
Choker/slip collar
Pinch/prong collar
Head halter
E-collar
Harness - leash attaches on back
Harness - leash attaches on chest
Regular leash
Retractable leash
Other
Housetrained?
Not housetrained at all
Marks indoors
Crate trained
Solidly housebroken, will bark or pace or scratch door to go outside
Learning crate training
Other
What are your goals and expections for this class (check all that apply)
Teach my dog to get along with other dogs
Learn how to manage my dog's behavior
Take my dog out in public more often
Learn the difference between dog obedience and behavior
Other
Any additional comments regarding temperament that haven't been covered by the questions above?
*
Save
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform