TELL US ABOUT YOURSELF
How many dogs have you owned (past and current) and how long have you had each?
*
What training did your previously owned dogs have?
*
What are your thoughts about crate training?
*
Unnecessary
Abusive
Only puppies need crating
Just another training tool
Unsure
What are your thoughts about punishment/corrections?
*
Unnecessary
Abusive
All unwanted behaviors need punishment
Just another training tool
Unsure
How many members are in the household?
*
What are your goals with your current dog?
*
Are all members of the household on the same page about these goals?
*
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PET INFORMATION
Dog's Name
*
Breed
*
D.O.B.
*
-
Month
-
Day
Year
Date
Sex
*
Male
Female
Spayed/Neutered
*
No
Yes
If yes, what age was your dog spayed/neutered?
Where did you get your dog from?
*
Is your dog up to date on vaccines?
*
No
Yes
If no, please explain
Have you and your dog had any prior profession training?
*
No
Yes
Please list out and describe details about prior training.
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TELL US ABOUT YOUR DOG
How would you describe your dog's personality and temperament?
*
Has your dog displayed any of the following behaviors? Please read carefully and select all that apply.
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Barking at the doorbell
Reacting to strangers
Reacting to dogs
Reacting to children
Guarding Food
Guarding Toys
Guarding other objects
History of Aggression
Separation Anxiety
Marking
Potty Accidents
Exhibiting fear
Exhibiting Anxiety
History of biting
Jumping on people
Stealing Food
Pulling towards strangers
Pulling towards dogs
Breaking out of the crate
Digging
Reacting to other objects
Do you take your dog to the following?
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Daycare
Play dates
Dog parks
None of these
Please list any commands your dog knows. Please also list percentage of the time that the dog obeys each command.
*
Is your dog crate-trained?
*
No
Yes
Do you or have you used any of the following with your dog? Please read carefully and select all that apply.
*
Flat Collar
Martingale Collar
Harness
Front-clip Harness
No-pull harness
Pinch Collar/Prong Collar
Choke Chain
E-collar
Other Training Collars
Slip Lead
Flexi-lead
Gentle Leader
Head Halter
Dog Blinders
Muzzle
Treats
Toys
Flirt Pole
Kongs
Slow Feeder Bowls
Other food mats
On a scale of 1 to 10, please describe how your dog behaves with the following.
When you carry him/her
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Easy/Calm
1
2
3
4
5
6
7
8
9
Difficult/Agitated
10
1 is Easy/Calm, 10 is Difficult/Agitated
At the groomer
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Easy/Calm
1
2
3
4
5
6
7
8
9
Difficult/Agitated
10
1 is Easy/Calm, 10 is Difficult/Agitated
At the vet
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Easy/Calm
1
2
3
4
5
6
7
8
9
Difficult/Agitated
10
1 is Easy/Calm, 10 is Difficult/Agitated
Physical Handling (when you put your hands on him/her to restrain or maneuver)
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Easy/Calm
1
2
3
4
5
6
7
8
9
Difficult/Agitated
10
1 is Easy/Calm, 10 is Difficult/Agitated
Stranger approaches while on-leash
*
Easy/Calm
1
2
3
4
5
6
7
8
9
Difficult/Agitated
10
1 is Easy/Calm, 10 is Difficult/Agitated
Stranger approaches while off-leash
*
Easy/Calm
1
2
3
4
5
6
7
8
9
Difficult/Agitated
10
1 is Easy/Calm, 10 is Difficult/Agitated
Nail Trimming
*
Easy/Calm
1
2
3
4
5
6
7
8
9
Difficult/Agitated
10
1 is Easy/Calm, 10 is Difficult/Agitated
Bathing
*
Easy/Calm
1
2
3
4
5
6
7
8
9
Difficult/Agitated
10
1 is Easy/Calm, 10 is Difficult/Agitated
Blow Drying
Easy/Calm
1
2
3
4
5
6
7
8
9
Difficult/Agitated
10
1 is Easy/Calm, 10 is Difficult/Agitated
Around the vacuum cleaner
*
Easy/Calm
1
2
3
4
5
6
7
8
9
Difficult/Agitated
10
1 is Easy/Calm, 10 is Difficult/Agitated
Sees another dog while on-leash
*
Easy/Calm
1
2
3
4
5
6
7
8
9
Difficult/Agitated
10
1 is Easy/Calm, 10 is Difficult/Agitated
Sees another dog while off-leash
*
Easy/Calm
1
2
3
4
5
6
7
8
9
Difficult/Agitated
10
1 is Easy/Calm, 10 is Difficult/Agitated
Doorbell / mailman/ package delivery
*
Easy/Calm
1
2
3
4
5
6
7
8
9
Difficult/Agitated
10
1 is Easy/Calm, 10 is Difficult/Agitated
When you take food away
*
Easy/Calm
1
2
3
4
5
6
7
8
9
Difficult/Agitated
10
1 is Easy/Calm, 10 is Difficult/Agitated
When you take toys away
*
Easy/Calm
1
2
3
4
5
6
7
8
9
Difficult/Agitated
10
1 is Easy/Calm, 10 is Difficult/Agitated
When you take him/her in the car
*
Easy/Calm
1
2
3
4
5
6
7
8
9
Difficult/Agitated
10
1 is Easy/Calm, 10 is Difficult/Agitated
When you crate him/her
*
Easy/Calm
1
2
3
4
5
6
7
8
9
Difficult/Agitated
10
1 is Easy/Calm, 10 is Difficult/Agitated
When you leave the house, leaving him/her behind
*
Easy/Calm
1
2
3
4
5
6
7
8
9
Difficult/Agitated
10
1 is Easy/Calm, 10 is Difficult/Agitated
When you give your dog medication
*
Easy/Calm
1
2
3
4
5
6
7
8
9
Difficult/Agitated
10
1 is Easy/Calm, 10 is Difficult/Agitated
Please list all other behaviors or concerns (medical or otherwise) that I should be aware of.
What brings you here? What training are you looking for?
*
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CONTACT INFORMATION
Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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