Client History Form
Please complete this questionnaire regarding your dog's behavior to the best of your ability. Let me know if you have any questions or anything to expand that I should know about as well so we can best identify your training goals in sessions!
About You
Most of this form will (no surprise!) be about your dog, but first give me a little information about you - not just your contact information, but your expectations and relationship surrounding your dog, your preferred coaching style, and a few other important details.
Your Name
First Name
Last Name
Your Preferred Pronouns
Email
example@example.com
Best Phone Number (Cell Preferred)
Please enter a valid phone number.
Name of other family members (please include ages of any children)
What pets have you had in the past? What is or was your favorite thing to do with them?
What training experiences have you had in the past? What worked well? What didn't work well for you?
How did your current dog come into your life? What have you looked forward to doing with them? Do you feel like you get to experience life the way you'd hoped to with your dog?
About how much time do you realistically have available to spend during the week dedicated primarily to your dog?
What is your approximate "training budget"?
Training is an ongoing process, and goals are usually ever-evolving. Especially for behavioral challenges, progress is rarely linear and requires maintenance to be sustainable. Your commitment to continued engagement with your dog will be necessary for success.
I understand
How would you describe your relationship with your dog?
How do you and your dog share joy together?
What are your current training goals for your dog?
As mentioned above, training goals are always changing and evolving. Goals may be revised and deemed unsustainable, or goals may be reached and exceeded and more ambitious goals can be set. Like Magic Dog Training believes completely in meeting the dog's and human's needs in any training scenario - which means that guarantees cannot be made because some methods of compliance do not bear in mind reasonable expectations for both human and dog.
About Your Dog
Your Dog's Name
Sex and Alteration Status
Please Select
Male, Neutered (or Vasectomy)
Male, Intact
Female, Spayed (or OSS)
Female, Intact
Age/Approximate Age
Size/Approximate Weight
Your favorite picture of your dog
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Breed/Breed Mix (or best guess)
Has the breed or breed mix been confirmed by pedigree or Embark testing?
Yes
No
If your dog were a fictional character, who would they be?
How long have they been in your home?
Where did they come from?
Please include breeder name or rescue name as applicable.
What do you know of your dog's history before they came to you?
If they were in a rescue, do you have any history of where they came from or how they lived before they were surrendered? If from a breeder, how were puppies socialized and raised?
Enrichment and Exercise
What is your dog most motivated or excited by?
What is your dog most scared or worried about?
On a roughly weekly basis, does your dog take the opportunity to:
Run freely on or off leash
Sniff around a new place
Use their brain for problem solving
Be social with their preferred humans
Chase something
Dig for something
Chew on something
Learn something new
Climb, jump, or swim
Tear or rip something
Of the above outlets, what does your dog seek out most? Are these behaviors more often done in a desirable (and permitted) or undesirable way?
Medical History
When was your dog's last veterinary appointment?
-
Month
-
Day
Year
Date
Has your dog had any recent medical concerns or procedures?
Due to injury or chronic medical concerns, does your dog experience any of the following?
Frequent ear infections
Allergies (Skin)
Allergies (Stomach)
Back or Joint Pain
Frequent dental issues
Gastrointestinal issues
Other
Is your dog up to date on vaccinations?
Yes
No
Please upload your most recent vaccination record
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Does your dog have any food sensitivities or allergies?
Are you currently working with a vet behaviorist?
Yes
No
Please upload any behavioral reports or diagnoses from a vet behaviorist that will inform training.
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Is your dog currently on any behavioral medication? If so, what medication are you using and what impact has it had on the problem behaviors thus far?
Behavior History
There is so much that goes into your dog's personality, temperament, and behavior that happened long before they came into your life, even if you brought them home as a tiny 8 week old puppy. While rescues can have a more unclear history, please share any details that you are aware of about your dog's background.
Does your dog share the house with other pets? Please include names and ages of non-human family members
Would you say your dog gets along well with other pets in the house, in general?
Would you say your dog is an introvert or an extrovert? Why?
What past experience does your dog have with training? What behaviors have worked well? What approaches have not worked?
Has your dog ever put teeth on a human? (Please check all that apply)
No, not to my knowledge
Yes, their teeth have touched skin without a puncture. They may have left a red mark or bruise/scratches
Yes, they have punctured the skin in 1-3 places with a single bite - no tearing or slashing.
Yes, they have caused 2-4 punctures from a single bite with considerable bruising and tearing/slashing.
Yes, they have caused 2-4 punctures from multiple bites with considerable bruising and tearing/slashing.
Please provide details of any incidents where teeth made contact with a human, including any preceding triggers, and if medical care was necessary for the incident.
Behaviors Today
I'd like to understand as best as possible what situations you are seeing your dog's undesirable behaviors arise and how both dog and human react to those situations. Ideally, behaviors we will work on will prevent the undesirable behavior from happening at all, so knowing how to best get ahead of it is vital to our training plan!
How long have the behaviors you're looking to work on been going on? Has it gotten better or worse over time? What has changed?
Especially in terms of behavior concerns (as opposed to manners), knowing how long they've been going on provides information about what habits and reinforcement history we're looking to adjust, but also might point to other concerns. Behavior problems that show up suddenly out of seemingly nowhere - especially in an adult dog - may have medical or pain components. My recommendation in situations where problem behaviors suddenly pop up is always to have your vet on board (often as well as a trainer) to assess any potential health concerns.
What, if anything, precedes your dog's concerning or challenging behaviors?
This can be environmental triggers that you've noticed or body language from your dog. Can you predict when the problem behavior is about to occur?
What specifically does your dog do currently in the situations that you are looking to work on?
As an example, if you are looking for manners work and would like to work on your dogs greeting skills, are they jumping and mouthing guests at the door? Just jumping? Barking or vocalizing? Do they stop when guests sit down or do they continue to react throughout the visit? Is the behavior the same for any visitors? If you are looking at more severe reactive or aggressive behaviors, how do those behavior manifest? Do they continue at length or in short bursts. The more detail I have about the behavior, the better I can target how to approach a fix!
How does your dog behave after the concerning/challenging behavior?
Is your dog able to recover - either through engagement with you, or settling down. Do you see the behavior persist as long as the "trigger" is in sight/in earshot/in your home. What does "recovery" look like for your dog?
What emotion(s) do you feel are driving this behavior?
Excitement
Frustration
Anger
Anxiety
Fear
Conflict
Possessiveness
Impulsiveness
Not Sure
Other
What makes you think your dog is expressing the emotion(s) you chose?
Is your dog calm and comfortable with:
People in the home
People outside the home
Dogs in the home, off leash
Dogs outside the home, off leash
Dogs on leash
Dogs behind fences or barriers
Cars and Trucks
If they are not calm and comfortable with any of the above, what does that behavior look like? How close can the "trigger" be before it results in a reaction?
Wrap Up
I appreciate your time in filling this out! The more information I have in advance of your session will inform any follow up questions I have as well as how quickly we can jump into your training and behavior plan! Please make sure to tab over to the submit form if the full form has not loaded on your browser!
Before you hit submit, what else do I need to know about you and your dog before we get started?
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