Reactive Dog Client Inquiry
This is a questionnaire developed to help determine if your dog will be a candidate for our reactive dog course. Please fill this out to the best of your ability. After you fill out this form, our training department will be in touch with you via the email you have provided on the form. We look forward to working with you!
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Location (city/zip code)
*
Tell us about your dog! Name, gender, breed:
*
Where did you acquire this dog and how long have you had them in your home?
*
How old is your dog?
*
Has your dog had any prior training?
*
Puppy Classes
Obedience Classes
Agility Classes
Nosework Classes
Rally Classes
Private Training
None
Flyball Classes
Does your dog show symptoms of separation anxiety? If so, please explain:
If your dog has attended classes in the past, please list the trainer/company.
How often does your dog have reactions? What are they reacting to (dogs, people, people with dogs, other animals)?
*
Does your dog react to other dogs (check all that apply):
*
On leash
Through an open window in your home
Through a fence
Other dogs barking outside
Other dogs barking at your dog
Off leash
Does your dog react toward individual people WITHOUT dogs on leash (growling, lunging, barking, snapping)? *our staff will reach out to you if your dog is reactive toward individual people to discuss if they are an appropriate fit for this class
*
Yes
No
If you answered yes to the previous question, please check all that apply. Does your dog react to people:
Out on the street without a dog
People coming into the house
Through a window in your home
Through a fence
Individual people walking toward you and your dog
Has your dog ever been in a dog fight? If so, please provide details. If not, please put N/A in the box.
*
Does your dog live with other animals? If so, what type and how is their relationship?
*
Has your dog met any dogs outside of your home?
*
Yes
No
Does your dog play, interact with or co-exist well with any other dogs?
*
How often do you walk your dog? Do you provide any other forms of exercise for your dog?
*
What motivates your dog? Examples; hot dogs, training treats, cheese, tug toys, frisbee, chase, etc. Please try to list at least 3 examples.
*
What equipment do you walk your dog with? Examples: 6 ft. leash, buckle collar, head collar, harness, etc.
*
How did you hear about the Idaho Humane Society training department?
*
Submit Form
Should be Empty: